J Korean Radiol Soc.  2000 Mar;42(3):469-471. 10.3348/jkrs.2000.42.3.469.

Percutaneous Recanalization for Refractory Dialysis-related Subclavian Vein Obstruction: A Case with Needle Puncture

• Goo DE
• Kim DH
• Choi DL

• KMID: 2103536
• DOI: http://doi.org/10.3348/jkrs.2000.42.3.469

Abstract

Chronic central venous occlusion presents a difficult management problem, particularly when the occlusion cannot be traversed with a guide wire, a step which is essential for endovascular treatment such as balloon angioplasty and stent placement. We describe a less invasive technique in which the venous occlusion is traversed with a Rosch-Uchida Transjugular Liver Access Set. This procedure may be useful in cases where the involved extremity must be preserved for hemodialysis and where subclavian vein occlusion is refractory to traditional revascularization methods.

Keyword

Dialysis; Veins; stenosis or obstruction; subclavian

MeSH Terms

Angioplasty, Balloon
Dialysis
Extremities
Liver
Needles*
Punctures*
Renal Dialysis
Stents
Subclavian Vein*
Veins