Ontology type: schema:ScholarlyArticle
1994-11
AUTHORSEnrique Criado, William A. Marston, Paul F. Jaques, Matthew A. Mauro, Blair A. Keagy
ABSTRACTTo evaluate the impact of central venous obstruction on upper extremity hemodialysis access failure, we retrospectively analyzed our recent experience in managing this problem. We reviewed 158 upper extremity hemodialysis access procedures performed in 122 patients during a 1-year period. Fourteen (11.5%) patients had central vein obstruction as the cause of severe arm swelling, graft thrombosis, or graft malfunction. All 14 patients had had bilateral temporary subclavian vein dialysis catheters and failed upper extremity arteriovenous access. Seventeen lesions were treated in 14 patients including eight subclavian vein occlusions, six subclavian vein stenoses, two internal jugular vein stenoses, and one superior vena cava stenosis. Twenty-one procedures were performed including 17 percutaneous transluminal balloon angioplasties (PTAs) with stent placement in 13, two axillary to innominate vein bypasses, and two axillary to internal jugular vein bypasses. All patients had resolution of symptoms. Thirteen (76%) PTAs were initially successful but in four (24%) cases it was impossible to recanalize the vein. Eight (47%) PTAs provided functional hemodialysis access for 2 to 9 months, two (12%) restenosed at 3 and 10 months and were successfully redilated, two occluded at 2 and 4 months and were unable to be recanalized, and one failed immediately after a successful PTA. Four PTA failures were followed by venous bypass, which remained patent and provided functional access 7 to 13 months after surgery. Of nine stenotic venous lesions six (67%) were successfully dilated without restenosis, whereas of eight occluded veins only two (25%) were successfully treated without recurrence. Temporary central hemodialysis catheters produce a significant number of symptomatic central vein obstructions in patients with upper extremity arteriovenous access. PTA with stenting and venous bypass provides early success in most patients. Transcatheter therapy is less successful in treating complete venous occlusions when compared with stenotic lesions. All effort should focus on preventing this complication by avoiding the use of temporary subclavian vein hemodialysis catheters. More... »
PAGES530-535
http://scigraph.springernature.com/pub.10.1007/bf02017408
DOIhttp://dx.doi.org/10.1007/bf02017408
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1013241262
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/7865390
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Clinical Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Angioplasty, Balloon",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Arm",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Arteriovenous Shunt, Surgical",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Axillary Vein",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Brachiocephalic Veins",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Catheters, Indwelling",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Constriction, Pathologic",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Female",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Graft Occlusion, Vascular",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Jugular Veins",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Male",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Middle Aged",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Recurrence",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Renal Dialysis",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Reoperation",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Retrospective Studies",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Stents",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Subclavian Vein",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Thrombosis",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Treatment Failure",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Vena Cava, Superior",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C.",
"id": "http://www.grid.ac/institutes/grid.10698.36",
"name": [
"Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C."
],
"type": "Organization"
},
"familyName": "Criado",
"givenName": "Enrique",
"id": "sg:person.01162375731.44",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01162375731.44"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C.",
"id": "http://www.grid.ac/institutes/grid.10698.36",
"name": [
"Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C."
],
"type": "Organization"
},
"familyName": "Marston",
"givenName": "William A.",
"id": "sg:person.01065102466.36",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01065102466.36"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C.",
"id": "http://www.grid.ac/institutes/grid.10698.36",
"name": [
"Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C."
],
"type": "Organization"
},
"familyName": "Jaques",
"givenName": "Paul F.",
"id": "sg:person.0675326421.23",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0675326421.23"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C.",
"id": "http://www.grid.ac/institutes/grid.10698.36",
"name": [
"Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C."
],
"type": "Organization"
},
"familyName": "Mauro",
"givenName": "Matthew A.",
"id": "sg:person.01315536302.44",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01315536302.44"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C.",
"id": "http://www.grid.ac/institutes/grid.10698.36",
"name": [
"Division of Vascular Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, N.C."
],
"type": "Organization"
},
"familyName": "Keagy",
"givenName": "Blair A.",
"id": "sg:person.01315557466.18",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01315557466.18"
],
"type": "Person"
}
],
"datePublished": "1994-11",
"datePublishedReg": "1994-11-01",
"description": "To evaluate the impact of central venous obstruction on upper extremity hemodialysis access failure, we retrospectively analyzed our recent experience in managing this problem. We reviewed 158 upper extremity hemodialysis access procedures performed in 122 patients during a 1-year period. Fourteen (11.5%) patients had central vein obstruction as the cause of severe arm swelling, graft thrombosis, or graft malfunction. All 14 patients had had bilateral temporary subclavian vein dialysis catheters and failed upper extremity arteriovenous access. Seventeen lesions were treated in 14 patients including eight subclavian vein occlusions, six subclavian vein stenoses, two internal jugular vein stenoses, and one superior vena cava stenosis. Twenty-one procedures were performed including 17 percutaneous transluminal balloon angioplasties (PTAs) with stent placement in 13, two axillary to innominate vein bypasses, and two axillary to internal jugular vein bypasses. All patients had resolution of symptoms. Thirteen (76%) PTAs were initially successful but in four (24%) cases it was impossible to recanalize the vein. Eight (47%) PTAs provided functional hemodialysis access for 2 to 9 months, two (12%) restenosed at 3 and 10 months and were successfully redilated, two occluded at 2 and 4 months and were unable to be recanalized, and one failed immediately after a successful PTA. Four PTA failures were followed by venous bypass, which remained patent and provided functional access 7 to 13 months after surgery. Of nine stenotic venous lesions six (67%) were successfully dilated without restenosis, whereas of eight occluded veins only two (25%) were successfully treated without recurrence. Temporary central hemodialysis catheters produce a significant number of symptomatic central vein obstructions in patients with upper extremity arteriovenous access. PTA with stenting and venous bypass provides early success in most patients. Transcatheter therapy is less successful in treating complete venous occlusions when compared with stenotic lesions. All effort should focus on preventing this complication by avoiding the use of temporary subclavian vein hemodialysis catheters.",
"genre": "article",
"id": "sg:pub.10.1007/bf02017408",
"isAccessibleForFree": false,
"isPartOf": [
{
"id": "sg:journal.1097002",
"issn": [
"0890-5096",
"1615-5947"
],
"name": "Annals of Vascular Surgery",
"publisher": "Elsevier",
"type": "Periodical"
},
{
"issueNumber": "6",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "8"
}
],
"keywords": [
"percutaneous transluminal balloon angioplasty",
"upper extremity arteriovenous access",
"central vein obstruction",
"vein obstruction",
"venous bypass",
"hemodialysis catheters",
"arteriovenous access",
"vein bypass",
"successful percutaneous transluminal balloon angioplasty",
"internal jugular vein bypass",
"subclavian vein occlusion",
"complete venous occlusion",
"arteriovenous dialysis access",
"transluminal balloon angioplasty",
"resolution of symptoms",
"venous outflow obstruction",
"central venous obstruction",
"hemodialysis access procedures",
"internal jugular vein",
"hemodialysis access failure",
"arm swelling",
"PTA failure",
"venous obstruction",
"graft thrombosis",
"graft malfunction",
"dialysis catheter",
"vein occlusion",
"most patients",
"outflow obstruction",
"transcatheter therapy",
"dialysis access",
"subclavian vein",
"superior vena",
"balloon angioplasty",
"hemodialysis access",
"stenotic lesions",
"venous occlusion",
"stent placement",
"jugular vein",
"patients",
"access failure",
"obstruction",
"bypass",
"catheter",
"months",
"vein",
"lesions",
"occlusion",
"access procedures",
"significant number",
"angioplasty",
"stenting",
"thrombosis",
"vena",
"stenosis",
"complications",
"surgery",
"failure",
"recurrence",
"restenosis",
"therapy",
"symptoms",
"recent experience",
"early success",
"cause",
"swelling",
"procedure",
"access",
"placement",
"period",
"cases",
"malfunction",
"six",
"experience",
"patents",
"use",
"number",
"success",
"impact",
"efforts",
"resolution",
"problem"
],
"name": "Proximal venous outflow obstruction in patients with upper extremity arteriovenous dialysis access",
"pagination": "530-535",
"productId": [
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1013241262"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1007/bf02017408"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"7865390"
]
}
],
"sameAs": [
"https://doi.org/10.1007/bf02017408",
"https://app.dimensions.ai/details/publication/pub.1013241262"
],
"sdDataset": "articles",
"sdDatePublished": "2022-08-04T16:50",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-springernature-scigraph/baseset/20220804/entities/gbq_results/article/article_244.jsonl",
"type": "ScholarlyArticle",
"url": "https://doi.org/10.1007/bf02017408"
}
]
Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/bf02017408'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/bf02017408'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/bf02017408'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/bf02017408'
This table displays all metadata directly associated to this object as RDF triples.
261 TRIPLES
20 PREDICATES
130 URIs
122 LITERALS
29 BLANK NODES