Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment.

Abstract:

:The percutaneous subclavian vein hemodialysis catheter, which is widely used for vascular access in patients with renal failure, can give rise to several complications. Asymptomatic stenosis or occlusion of the subclavian vein due to these catheters can lead to painful arm edema if further dialysis accesses are constructed in the ipsilateral arm. This complication can lead to loss of valuable dialysis fistulas or grafts. We present six cases of this complication, along with management alternatives, which include conservative elevation, ligation of shunts, and surgical bypass of stenosed veins. Awareness of this complication should encourage early evaluation of patients who have had subclavian catheters and guide future placement of dialysis shunts. To preserve dialysis access sites, we advise an individualized approach to each patient who develops this painful arm edema.

journal_name

South Med J

journal_title

Southern medical journal

authors

Coates GR,Clements JB,Yium J,Watlington J

doi

10.1097/00007611-198803000-00004

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

303-5

issue

3

eissn

0038-4348

issn

1541-8243

journal_volume

81

pub_type

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