关键词: 血液透析, 中心静脉狭窄, 球囊扩张术

Abstract:

Diagnosis and treatment of central venous stenosis in haemodialysis patients        SHI Ya-xue*, ZHANG Hao, LIANG Wei, et al. *Department of Vascular Surgery, Affiliated Ren Ji Hospital of Shanghai Jiao Tong University, Shanghai 200001，China
Corresponding author: ZHANG Ji-wei, E-mail：zhangjiwei001@sina.com
Abstract Objective To investigate the diagnosis and treatment experience of central venous stenosis (CVS) in haemodialysis patients. Methods The clinical data of 13 haemodialysis cases of central vein stenosis admitted from July 2006 to July 2008 at Affiliated Ren Ji Hospital of Shanghai Jiao Tong University were analyzed retrospectively. Results Among all the cases, 61.54% of them had a history of catheterization with arm swelling and venous hypertension. One case was bilateral disease and others were unilateral including 2 cases of subclavian vein occlusion, 2 cases of branchiocephalic vein occlusion, 3 cases of branchiocephalic stenosis and 5 cases of subclavian vein stenosis. Management methods included PTA, subclavian vein-contralateral subclavian vein bypass and ligation of the access. All the cases were syptom-free. Conclusion Central venous stenosis in haemodialysis cases is accompanied with severe clinical symptoms and affected the use and the life of vascular access. Venography is the first choice for the diagnosis and the current management of CVS is far from being effective for the long term.

Key words: haemodialysis, central venous stenosis, angioplasty