Progress in the treatment of central venous lesion in hemodialysis patients
10.3760/cma.j.cn441217-20240701-00705
- VernacularTitle:血液透析患者中心静脉病变的治疗进展
- Author:
Changli SUN
1
;
Qiquan LAI
;
Yu ZHOU
;
Bo CHEN
;
Ziming WAN
Author Information
1. 华中阜外医院肾内科，郑州 450003
- Publication Type:Journal Article
- Keywords:
Renal dialysis;
Venous access devices;
Angioplasty;
Central venous lesion;
Stenosis;
Occlusion;
Interventional therapy
- From:
Chinese Journal of Nephrology
2025;41(8):636-641
- CountryChina
- Language:Chinese
-
Abstract:
Central venous lesion represents one of the common complications affecting vascular access in hemodialysis patients, potentially compromising hemodialysis efficacy. The management of symptomatic central venous lesion remains a critical challenge in clinical practice. Current primary treatment strategies include percutaneous transluminal angioplasty and percutaneous transluminal stenting. Advances in techniques such as sharp recanalization and the mother-child platform approach, along with the development of high-pressure balloons, paclitaxel- coated balloons, and covered stents, have significantly improved procedural success rates. However, unresolved issues persist, including standardized treatment protocols, technical considerations for lesion traversal, and optimal stent selection criteria. This article comprehensively reviews the treatment principles, lesion passage techniques, treatment techniques, and recent advancements of central venous lesion.
