Journal of Indonesia Vascular Access
Vol. 3 No. 1 (2023): (Available Online: June 2023)

Angioplasty experience for central venous stenosis in hemodialysis patients: a case series

Nyoman Saka Ranuartha (Thorax, Cardiac and vascular surgery department, Faculty of Medicine, Universitas Airlangga)
Danang Himawan Limanto (Thorax, Cardiac and vascular surgery department, Faculty of Medicine, Universitas Airlangga)
Ketut Putu Yasa (Division of Thorax Cardiac Vascular and Endovascular Surgery, Department of Surgery, Universitas Udayana, Denpasar, Bali)



Article Info

Publish Date
17 Feb 2023

Abstract

Objective: To report the treatment of central venous stenosis in hemodialysis patients with endovascular intervention angioplasty. Introduction: Central venous stenosis is a common case in patients with renal failure or end-stage renal disease who have a history of dialysis, which requires vascular access. The currently available techniques for managing central venous stenosis are endovascular intervention with angioplasty and stent placement. Although open surgical treatment has shown durability in the past, it was correlated with significant morbidity. One of the techniques describes the antegrade technique of endovascular intervention. Case description: In this study present 5 cases of central venous stenosis in patients with hemodialysis. In this case series, the patient complained that had a history of swelling in the upper arm unilateral. Diagnostic with catheterization, there was stenosis of the subclavian vein and innominate. This study performed the endovascular management experience with the preferred treatment for central venous stenosis to perform revascularization procedures which is percutaneous transluminal angioplasty (PTA) with balloon angioplasty. Conclusions: Management of central venous stenosis in patients with hemodialysis can be presented effectively and safely using angioplasty which results in low rates of complication and usually has a shorter length of stay post-procedural.

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Journal Info

Abbrev

JINAVA

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology

Description

Journal of Indonesia Vascular Access; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. INAVA publishes articles that encompass basic research/clinical studies related to the cardiovascular and thorax field. The Journal aims to ...