Korean J Med.
2000 Apr;58(4):472-476.
Innominate vein occlusion treated by percutaneous transluminal angioplasty with endovascular stent in a hemodialysis patient
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Although central vein stenosis associated with vascular access is relatively common in a hemodialysis patient, innominate vein stenosis is very rare. We here report a case of innominate vein occlusion treated successfully by percutaneous transluminal angioplasty with endovascular stent in a hemodialysis patient. A 61-year-old woman on hemodialysis developed progressive swellingof and headache. She had an history of subclavian vein catheterization. Venography disclosed totally obstructed left innominate vein, multiple collaterals and retrograde flow into left internal jugular vein. Percutaneous transluminal angioplasty with endovascular stent was performed. Venography performed after this procedure showed complete resolution of collaterals and no residual stenosis and arm swelling and headache disappeared.
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