Thoracic Central Vein Occlusion in the Dialysis Patient: An Interventional Perspective

Jennifer L Young; Gordon McLennan

doi:10.1053/j.ackd.2020.03.003

Thoracic Central Vein Occlusion in the Dialysis Patient: An Interventional Perspective

Adv Chronic Kidney Dis. 2020 May;27(3):236-242. doi: 10.1053/j.ackd.2020.03.003.

Authors

Jennifer L Young¹, Gordon McLennan²

Affiliations

¹ Imaging Institute, Cleveland Clinic, Cleveland, OH.
² Imaging Institute, Cleveland Clinic, Cleveland, OH; Biomedical Engineering, Cleveland Clinic, Cleveland, OH. Electronic address: mclenng@ccf.org.

PMID: 32891308
DOI: 10.1053/j.ackd.2020.03.003

Abstract

Thoracic central venous occlusion in hemodialysis patients can cause significant disability from arm and facial swelling and can lead to worsening function of dialysis access. Current techniques for managing thoracic central venous occlusion and some of the newer techniques for achieving dialysis access when all central veins are occluded. Techniques for dealing with acute superior vena cava thrombosis will also be covered as will the complications of central venous recanalization techniques.

Keywords: Angioplasty; Central venous occlusion; Recanalization; SVC syndrome; Stent.

Publication types

Review

MeSH terms

Angioplasty / adverse effects
Angioplasty / methods
Arteriovenous Shunt, Surgical* / instrumentation
Arteriovenous Shunt, Surgical* / methods
Catheterization, Central Venous* / adverse effects
Catheterization, Central Venous* / methods
Humans
Kidney Failure, Chronic / therapy*
Renal Dialysis / methods
Superior Vena Cava Syndrome* / etiology
Superior Vena Cava Syndrome* / surgery