Primary stenting of occluded innominate vein in a case of dialysis fistula malfunction- a 3.5-years follow-up

Abstract

Central vein stenosis is frequently seen in patients on maintenance hemodialysis. This results in venous hypertension, swelling of the limb and malfunctioning of arterio-venous (AV) dialysis fistula. Percutaneous intervention of central vein stenosis is technically challenging with high failure rates, complications and repeated interventions. We hereby report a case of end-stage renal disease on maintenance hemodialysis, who presented with malfunctioning dialysis AV fistula following occlusion of left innominate vein. Successful endovascular stenting of left innominate vein was done with favorable short and long term outcomes.

Keywords

• Angioplasty
• Central vein stenosis
• Hemodialysis
• Innominate vein
• Re-stenosis
• Stent