Journal of Vascular and Interventional Radiology
Volume 20, Issue 1 , Pages 46-51 , January 2009

Endovascular Management of Central Thoracic Veno-Occlusive Diseases in Hemodialysis Patients: A Single Institutional Experience in 69 Consecutive Patients

  • Kambiz Nael, MD

      Affiliations

    • Department of Radiological Sciences, David Geffen School of Medicine at University of California Los Angeles, 10945 Le Conte Ave, Ste 3371, Los Angeles, CA 90095-7206
    • Division of Vascular Surgery, Keck School of Medicine at University of Southern California, Huntington Memorial Hospital, Pasadena, California
    • Corresponding Author InformationAddress correspondence to K.N.
    • ,
  • Stephen T. Kee, MD

      Affiliations

    • Department of Radiological Sciences, David Geffen School of Medicine at University of California Los Angeles, 10945 Le Conte Ave, Ste 3371, Los Angeles, CA 90095-7206
    • ,
  • Houman Solomon, MD

      Affiliations

    • Division of Vascular Surgery, Keck School of Medicine at University of Southern California, Huntington Memorial Hospital, Pasadena, California
    • ,
  • Steven G. Katz, MD

      Affiliations

    • Division of Vascular Surgery, Keck School of Medicine at University of Southern California, Huntington Memorial Hospital, Pasadena, California

Received 12 February 2008 ,Revised 15 September 2008 ,Accepted 19 September 2008.

  • Image Result

    Graph shows the overall performance and comparison of primary and assisted patency rates of hemodialysis access during follow-up. When evaluated with Kaplan-Meier analysis, dialysis access survival an

    Graph shows the overall performance and comparison of primary and assisted patency rates of hemodialysis access during follow-up. When evaluated with Kaplan-Meier analysis, dialysis access survival and patency rates were significantly increased with use of assisted procedures (P = .001, log-rank test).

  • Image Result
    Graph shows primary versus assisted patency and survival of hemodialysis accesses at 1-, 3-, 6-, 9-, and 12-month intervals. The assisted patency rates were significantly improved at all of these time

    Graph shows primary versus assisted patency and survival of hemodialysis accesses at 1-, 3-, 6-, 9-, and 12-month intervals. The assisted patency rates were significantly improved at all of these time points, as determined with Kaplan-Meier analysis and the modified peto test (χ2 value = 10.54 with 1 df; P = .001).

  • Image Result
    Images from digital subtraction angiography in a 58-year-old man with end-stage renal disease and a right brachiocephalic fistula who presented with right upper extremity pain and swelling. Images rev

    Images from digital subtraction angiography in a 58-year-old man with end-stage renal disease and a right brachiocephalic fistula who presented with right upper extremity pain and swelling. Images reveal severe veno-occlusive disease in the junction of the right axillary and subclavian vein (arrow in a) with central filling via collateral vessels. The arrowhead in b shows the development of a pseudoaneurysm subsequent to PTA, which was treated with a covered stent (c).

 None of the authors have identified a conflict of interest.

PII: S1051-0443(08)00840-3

doi: 10.1016/j.jvir.2008.09.020

Journal of Vascular and Interventional Radiology
Volume 20, Issue 1 , Pages 46-51 , January 2009

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