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Central Venous Disease in Hemodialysis Patients: An Update

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Abstract

Central venous occlusive disease (CVD) is a common concern among the hemodialysis patient population, with the potential to cause significant morbidity. Endovascular management of CVD, comprising percutaneous balloon angioplasty and bare-metal stenting, has been established as a safe alternative to open surgical treatment. However, these available treatments have poor long-term patency, requiring close surveillance and multiple repeat interventions. Recently, covered stents have been proposed and their efficacy assessed for the treatment of recalcitrant central venous stenosis and obstruction. Moreover, newly proposed algorithms for the surgical management of CVD warrant consideration. Here, we seek to provide an updated review of the current literature on the various treatment modalities for CVD.

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Abbreviations

PTA:

Perputaneous Transluminal Angioplasty

BMS:

Bare Metal Stents

CS:

Covered Stents

CVD:

Central Venous Obstruction and Stenosis

HD:

Hemodialysis

AV:

Arteriovenous

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Michael G. DeGroote School of Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, L8S4L8, Canada

    Milad Modabber

  2. Scarborough Hospital and Scarborough Vascular Ultrasound, The Vein Institute of Toronto, 217 Davenport Road, Toronto, ON, M5R-1J3, Canada

    Sanjoy Kundu

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  1. Milad Modabber
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  2. Sanjoy Kundu
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Correspondence to Milad Modabber.

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Modabber, M., Kundu, S. Central Venous Disease in Hemodialysis Patients: An Update. Cardiovasc Intervent Radiol 36, 898–903 (2013). https://doi.org/10.1007/s00270-012-0498-6

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  • DOI: https://doi.org/10.1007/s00270-012-0498-6

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