An occult cause of arteriovenous access failure: Central vein stenosis from permanent pacemaker wire - Report of three cases and review of the literature

被引:28
作者
Chuang, CL
Tarng, DC
Yang, WC
Huang, TP
机构
[1] Taipei Vet Gen Hosp, Dept Med, Div Nephrol, Taipei 112, Taiwan
[2] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan
关键词
permanent pacemaker; stenosis; AV fistula/graft; hemodialysis;
D O I
10.1159/000046284
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Central vein stenosis is an indolent and underestimated complication of permanent pacemaker placement. It leads to serious problems in hemodialysis patients when arteriovenous (AV) fistulae/grafts were created at the ipsilateral arm. We, herein, reported 3 cases of AV access failure resulting from permanent pacemaker-related central vein stenosis. The pathogenesis, clinical manifestations, radiological findings, and therapeutic solution on this issue are discussed. It is mandatory to place the AV fistula/graft and permanent pacemaker wire on the opposite side for prevention of the high risk of AV access failure Copyright (C) 2001 S. Karger AG, Basel.
引用
收藏
页码:406 / 409
页数:4
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