Korean J Nephrol.  2006 Nov;25(6):1055-1059.

A Case of Central Vein Stenosis in a Hemodialysis Patient with History of Humerus Osteomyelitis Ipsilateral to Arteriovenous Fistula

• Song JY
• Kang HH
• Kim TS
• Jang EC
• Yoo SH
• Kim YS
• Yoon SA
• Won YD
• Kim YO

Abstract

Central vein stenosis (CVS) is a serious complication in hemodialysis patients mostly related to central vein catheterization. Although rare, CVS may also develop without any previous history of central venous catheterization. Here we report a case of central vein stenosis in a hemodialysis patient with the history of humerus osteomyelitis ipsilateral to arteriovenous fistula. The patient did not have any previous history of central vein catheterization. She received radial artery-cephalic vein fistula operation for maintenance hemodialysis. Venography was performed because of inadequate vein maturation 2 months after the operation. Venography shows complete occlusion of left innominate vein, multiple collateral veins and backflow of left internal jugular vein. After percutaneous transluminal angioplasty with stent insertion, the innominate vein was fully dilated and the collateral vessels completely disappeared.

Keyword

Innominate vein; Stenosis; Etiology; Osteomyelitis; Hemodialysis

MeSH Terms

Angioplasty
Arteriovenous Fistula*
Brachiocephalic Veins
Catheterization
Catheterization, Central Venous
Catheters
Central Venous Catheters
Constriction, Pathologic*
Fistula
Humans
Humerus*
Jugular Veins
Osteomyelitis*
Phlebography
Renal Dialysis*
Stents
Veins*