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.


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