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Percutaneous reconstruction of chronic total occlusion of brachiocephalic vein using transseptal needle in dialysis-dependent patient

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Abstract

Placement of a dialysis catheter substantially increases the risk of central vein stenosis. 52-year-old female with end-stage renal disease and a right brachial–cephalic hemodialysis access presented with right arm swelling. The chronic total occlusion of right brachiocephalic vein was refractory to wire traversal. Sharp recanalization of the central venous occlusion was done with transseptal needle retrogradely. The track was balloon dilated and stented. When the conventional catheters and guide wires options fail, sharp recanalization technique may be used to salvage a precious dialysis access.

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Acknowledgments

Grant information nothing to disclose.

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Authors and Affiliations

  1. BLK Superspeciality Hospital, Pusa Road, New Delhi, 110005, India

    Amit Kumar Malik, Neeraj Bhalla, Ashwani Goel & Sunil Prakash

Authors
  1. Amit Kumar Malik
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  2. Neeraj Bhalla
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  3. Ashwani Goel
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  4. Sunil Prakash
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Correspondence to Amit Kumar Malik.

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Malik, A.K., Bhalla, N., Goel, A. et al. Percutaneous reconstruction of chronic total occlusion of brachiocephalic vein using transseptal needle in dialysis-dependent patient. Cardiovasc Interv and Ther 31, 136–139 (2016). https://doi.org/10.1007/s12928-015-0327-3

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  • DOI: https://doi.org/10.1007/s12928-015-0327-3

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