A case of intracranial venous hypertension caused by coated stent grafts for right innominate vein occlusion
10.3760/cma.j.cn441217-20241212-01228
- VernacularTitle:覆膜支架治疗右无名静脉闭塞致颅内静脉高压1例
- Author:
Xuedong BAO
1
;
Chang WU
1
;
Yaxue SHI
1
;
Lanhua MI
1
;
Sijie LIU
1
;
Xinyi FU
1
Author Information
1. 上海中医药大学附属龙华医院血管外科，上海 200032
- Publication Type:Journal Article
- Keywords:
Renal dialysis;
Brachiocephalic veins;
Stents;
Neurological symptoms;
Central venous stenosis;
Coated stent graft
- From:
Chinese Journal of Nephrology
2025;41(11):864-866
- CountryChina
- Language:Chinese
-
Abstract:
Central venous lesions are challenging in the maintenance of hemodialysis vascular access, with endovascular therapy as the preferred treatment. Coated stent grafts, with superior primary patency rates and the ability to mitigate the risk of vascular rupture and bleeding, have become one of the clinical options. However, they pose a risk of occluding important tributary veins. This report describes a case of right innominate vein occlusion treated with a small-caliber coated stent graft, resulting in postoperative symptoms of intracranial venous hypertension. This case highlights the need to pay attention to neurological symptoms caused by central venous lesions and conduct a more meticulous assessment of contralateral venous return before placing coated stent grafts, to avoid irreversible neurological symptoms.
