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Hemodialysis Outflow Vein Stenosis

  • Eduardo Rodriguez
  • Karl A. IlligEmail author
Chapter

Abstract

Hemodialysis access failures affect the quality of life of ESRD patients due to the increased morbidity associated with higher numbers of hospital readmissions, invasive diagnostic studies, and open and endovascular reinterventions. The goal of this chapter is to understand the pathophysiology and management of stenosis within the hemodialysis circuit in order to better preserve functional arteriovenous access.

Keywords

Superior Vena Cava Bare Metal Stents Subclavian Vein Venous Outflow Primary Patency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Chapter 1: incidence, prevalence, patient characteristics, and treatment modalities. Am J Kidney Dis. 66(1):S93–110. www.niddk.nih.gov/health-information accesses 7/16/16Google Scholar
  2. 2.
    Agarwal AK. Central vein stenosis: current concepts. Adv Chronic Kidney Dis. 2009;16:360–70.CrossRefPubMedGoogle Scholar
  3. 3.
    Roy-Chaudhury P, Spergel LM, Besarab A, Asif A, Ravani P. Biology of arteriovenous fistula failure. J Nephrol. 2007;20:150–63.PubMedGoogle Scholar
  4. 4.
    Taber TE, et al. Maintenance of adequate hemodialysis access. Prevention of neointimal hyperplasia. ASAIO J. 1995;41:842–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Kelly BS, et al. Aggressive venous neointimal hyperplasia in a pig model of arteriovenous graft stenosis. Kidney Int. 2002;62:2272–80.CrossRefPubMedGoogle Scholar
  6. 6.
    Altman SD. A practical approach for diagnosis and treatment of central venous stenosis and occlusion. Semin Vasc Surg. 2007;20:189–94.CrossRefPubMedGoogle Scholar
  7. 7.
    Costa E, Rocha S, Rocha-Pereira P, Castro E, Reis F, Teixeira F, et al. Cross-talk between inflammation, coagulation/fibrinolysis and vascular access in hemodialysis patients. J Vasc Access. 2008;9:248–53.PubMedGoogle Scholar
  8. 8.
    Fox EA, Kahn SR. The relationship between inflammation and venous thrombosis: a systematic review of clinical studies. Thromb Haemost. 2005;94:362–5.PubMedGoogle Scholar
  9. 9.
    Illig KA. Management of central vein stenoses and occlusions: the critical importance of the costoclavicular junction. Semin Vasc Surg. 2011;24(2):113–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Ram SJ, et al. A randomized controlled trial of blood flow and stenosis surveillance of hemodialysis grafts. Kidney Int. 2003;64(1):272–80.CrossRefPubMedGoogle Scholar
  11. 11.
    Wellington JL. Salvage of thrombosed polytetrafluoroethylene dialysis fistulas by interposition grafting. Can J Surg. 1983;26:463–5.PubMedGoogle Scholar
  12. 12.
    Raju S. PTFE grafts for hemodialysis access. Techniques for insertion and management of complications. Ann Surg. 1987;206:666–73.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Saleh HM, Gabr AK, Tawfik MM, Abouellail H. Prospective, randomized study of cutting balloon angioplasty versus conventional balloon angioplasty for the treatment of hemodialysis access stenoses. J Vasc Surg. 2014;60:735–40.CrossRefPubMedGoogle Scholar
  14. 14.
    Schainfeld RM. Cutting balloon angioplasty: is it the key to access? Catheter Cardiovasc Interv. 2008;71:255–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Kariya S, et al. Percutaneous transluminal cutting-balloon angioplasty for hemodialysis access stenoses resistant to conventional balloon angioplasty. Acta Radiol. 2006;47:1017–21.CrossRefPubMedGoogle Scholar
  16. 16.
    Tessitore N, Mansueto G, Bedogna V, Lipari G, Poli A, Gammaro L, et al. A prospective controlled trial on effect of percutaneous transluminal angioplasty on functioning arteriovenous fistulae survival. J Am Soc Nephrol. 2003;14:1623–7.CrossRefPubMedGoogle Scholar
  17. 17.
    Clark TW, Hirsch DA, Jindal KJ, Veugelers PJ, LeBlanc J. Outcome and prognostic factors of restenosis after percutaneous treatment of native hemodialysis fistulas. J Vasc Interv Radiol. 2002;13:51–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Hoffmann R, Mintz GS, Dussaillant GR, Popma JJ, Pichard AD, Satler LF, et al. Patterns and mechanisms of in-stent restenosis. A serial intravascular ultrasound study. Circulation. 1996;94:1247–54.CrossRefPubMedGoogle Scholar
  19. 19.
    Vesely T, Pilgram T, Amin MZ. Use of stents and stent grafts to salvage angioplasty failures in patients with hemodialysis grafts. Semin Dial. 2008;21:100–4.CrossRefPubMedGoogle Scholar
  20. 20.
    Shemesh D, Shemesh D, Goldin I, Zaghal I, Berlowitz D, Raveh D, Olsha O. Angioplasty with stent graft versus bare stent for recurrent cephalic arch stenosis in autogenous arteriovenous access for hemodialysis: a prospective randomized clinical trial. J Vasc Surg. 2008;48:1524–31.CrossRefPubMedGoogle Scholar
  21. 21.
    Rajan DK, Clark TW, Patel NK, Stavropoulos SW, Simons ME. Prevalence and treatment of cephalic arch stenosis in dysfunctional autogenous hemodialysis fistulas. J Vasc Interv Radiol. 2003;14:567–73.CrossRefPubMedGoogle Scholar
  22. 22.
    Kim YC, Won JY, Choi SY, et al. Percutaneous treatment of central venous stenosis in hemodialysis patients: long-term outcomes. Cardiovasc Intervent Radiol. 2009;32:271–8.CrossRefPubMedGoogle Scholar
  23. 23.
    Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45:776–83.CrossRefPubMedGoogle Scholar
  24. 24.
    Illig KA, et al. Aggressive costoclavicular junction decompression in patients with threatened AV access. Ann Vasc Surg. 2015;29(4):698–703.CrossRefPubMedGoogle Scholar
  25. 25.
    Glass C, et al. Costoclavicular venous decompression in patients with threatened arteriovenous hemodialysis access. Ann Vasc Surg. 2011;25(5):640–5.CrossRefPubMedGoogle Scholar
  26. 26.
    Glass C. VTOS in the patient requiring chronic hemodialysis access. In: Illig KA, Thompson RW, Freischlag JA, Jordan SE, Donahue DM, Edgelow PI, editors. Thoracic outlet syndrome. London: Springer; 2013.Google Scholar
  27. 27.
    Illig KA, Doyle A. A comprehensive review of Paget-Schroetter syndrome. J Vasc Surg. 2010;51:1538–47.CrossRefPubMedGoogle Scholar
  28. 28.
    Molina JE. Operative technique of first rib resection via subclavicular approach. Vasc Surg. 1993;27:667–72.CrossRefGoogle Scholar
  29. 29.
    Molina JE. A new surgical approach to the innominate and subclavian vein. J Vasc Surg. 1998;27:576–81.CrossRefPubMedGoogle Scholar
  30. 30.
    Suliman A, Greenberg JI, Angle N. Surgical bypass of symptomatic central venous obstruction for arteriovenous fistula salvage in hemodialysis patients. Ann Vasc Surg. 2008;22:203–9.CrossRefPubMedGoogle Scholar
  31. 31.
    Glass C, Maevsky V, Massey T, Illig K. Subclavian vein to right atrial appendage bypass without sternotomy to maintain arteriovenous access in patients with complete central vein occlusion, a new approach. Ann Vasc Surg. 2009;23:465–8.CrossRefPubMedGoogle Scholar
  32. 32.
    Doty JR, Flores JH, Doty DB. Superior vena cava obstruction: bypass using spiral vein graft. Ann Thorac Surg. 1999;67:1111–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Division of Vascular SurgeryUniversity of South Florida Morsani College of MedicineTampaUSA

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