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Hemodialysis-associated subclavian vein stenosis.

Publication ,  Journal Article
Schwab, SJ; Quarles, LD; Middleton, JP; Cohan, RH; Saeed, M; Dennis, VW
Published in: Kidney Int
June 1988

This study was undertaken to evaluate hemodialysis-associated subclavian vein stenosis (SVS) and to clarify treatment of this condition. Forty-seven patients underwent upper arm venography to evaluate fistula dysfunction. Subclavian vein stenosis was documented in 12. Eleven of 12 had elevated venous dialysis pressure (196 +/- 8.9 mm Hg), and six had arm edema. All 12 had previously undergone subclavian cannulation on the side of the fistula. Thirty-five patients showed no evidence of subclavian vein stenosis. Twelve of these 35 patients (mean venous dialysis pressure 113 +/- 2.3 mm Hg) had undergone previous subclavian cannulation on the side of the fistula. The mean age of the fistula at the time of venogram in patients with subclavian vein stenosis was 17.0 months versus 5.8 months in patients with ipsilateral subclavian cannulation without subclavian vein stenosis. Percutaneous transluminal angioplasty (PTA) was performed on 11 of 12 patients with SVS lowering venous dialysis pressure and restoring patency to the fistula in 100%. Lesions recurred in two of 11 patients and were successfully retreated with PTA. We conclude that SVS is a common dialysis problem that is amenable to treatment with PTA. Elevated venous dialysis pressures are a sensitive indicator of this condition.

Duke Scholars

Published In

Kidney Int

DOI

ISSN

0085-2538

Publication Date

June 1988

Volume

33

Issue

6

Start / End Page

1156 / 1159

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Subclavian Vein
  • Renal Dialysis
  • Radiography
  • Middle Aged
  • Male
  • Humans
  • Female
  • Constriction, Pathologic
  • Catheterization, Central Venous
 

Citation

APA
Chicago
ICMJE
MLA
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Schwab, S. J., Quarles, L. D., Middleton, J. P., Cohan, R. H., Saeed, M., & Dennis, V. W. (1988). Hemodialysis-associated subclavian vein stenosis. Kidney Int, 33(6), 1156–1159. https://doi.org/10.1038/ki.1988.124
Schwab, S. J., L. D. Quarles, J. P. Middleton, R. H. Cohan, M. Saeed, and V. W. Dennis. “Hemodialysis-associated subclavian vein stenosis.Kidney Int 33, no. 6 (June 1988): 1156–59. https://doi.org/10.1038/ki.1988.124.
Schwab SJ, Quarles LD, Middleton JP, Cohan RH, Saeed M, Dennis VW. Hemodialysis-associated subclavian vein stenosis. Kidney Int. 1988 Jun;33(6):1156–9.
Schwab, S. J., et al. “Hemodialysis-associated subclavian vein stenosis.Kidney Int, vol. 33, no. 6, June 1988, pp. 1156–59. Pubmed, doi:10.1038/ki.1988.124.
Schwab SJ, Quarles LD, Middleton JP, Cohan RH, Saeed M, Dennis VW. Hemodialysis-associated subclavian vein stenosis. Kidney Int. 1988 Jun;33(6):1156–1159.
Journal cover image

Published In

Kidney Int

DOI

ISSN

0085-2538

Publication Date

June 1988

Volume

33

Issue

6

Start / End Page

1156 / 1159

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Subclavian Vein
  • Renal Dialysis
  • Radiography
  • Middle Aged
  • Male
  • Humans
  • Female
  • Constriction, Pathologic
  • Catheterization, Central Venous