Endovascular Treatment for Central Venous Stenosis in Hemodialysis Patients
Author Information
Author(s): Tao Yiming, Wang Jianyun, Ma Jianchao, Peng Siqi, Chen Boxi, Deng Shuting, Yuan Ye, Jiang Nan, Wen Sichun, Li Bohou, Wu Qiong, Xu Lixia, Li Sijia, Lin Ting, Wen Feng, Fu Lei, Li Zhuo, Huang Renwei, He Chaosheng, Wang Wenjian, Ye Zhiming, Shi Wei, Feng Zhonglin, Liu Shuangxin
Primary Institution: Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China
Hypothesis
This study aimed to investigate the characteristics of central vein stenosis and the clinical effectiveness of percutaneous transluminal angioplasty (PTA) and sequential percutaneous transluminal stenting (PTS) in hemodialysis patients.
Conclusion
PTA alone is recommended for patients with less than 50% central venous elastic retraction, while sequential PTS is recommended for those with 50% or more.
Supporting Evidence
- 53.85% of the patients were male.
- The mean age of the patients was approximately 54.96 years.
- All patients had a history of catheter placement or pacemaker implantation.
- The primary patency rates were 94.12% and 100% at 3 months for PTS and PTA alone, respectively.
- PTA and PTS are safe and effective methods for treating central vein stenosis.
Takeaway
Doctors can help patients on dialysis with a common problem called central vein stenosis by using special procedures to open up the blocked veins.
Methodology
A retrospective analysis of 26 cases of endovascular intervention for central venous stenosis using PTA alone or sequential PTS was performed.
Potential Biases
The study may have selection bias due to its retrospective nature.
Limitations
This was a retrospective study with a small sample size, and the specific mechanisms of central vein stenosis remain unclear.
Participant Demographics
The study included 26 hemodialysis patients, with 53.85% male and a mean age of approximately 54.96 years.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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