Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment
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...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1988-03, Vol.81 (3), p.303-305 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
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| creator | Coates, G R Clements, J B Yium, J Watlington, J |
| description | 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. |
| doi_str_mv | 10.1097/00007611-198803000-00004 |
| format | Article |
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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. 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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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arm</subject><subject>Blood Vessel Prosthesis</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Constriction, Pathologic - etiology</subject><subject>Edema - etiology</subject><subject>Edema - therapy</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain - etiology</subject><subject>Pain Management</subject><subject>Renal Dialysis</subject><subject>Subclavian Vein</subject><subject>Vascular Diseases - etiology</subject><issn>0038-4348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UMtOwzAQ9AFUSuETkHziFrBrN3a4oYqXVAkOcI4cZ12MHKfYTkX_HoeW7mV3Z2dmpUEIU3JDSSVuSS5RUlrQSkrC8laMED9BU0KYLDjj8gydx_g1EheynKAJY1zIkkzRz5uy3gwOQwudwr3B6ROwCh1WJkHA1kcIyfZ-PEXr1w4KD9A6wHFotFNbqzzegvW4tcrtoo1Yq-yRxfEOb_LYr8HDiCvf4hRApQ58ukCnRrkIl4c-Qx-PD-_L52L1-vSyvF8VmlGSCsOgZIZUTAiqF40ADWVjmBRcGGjFHGgGjOYSuOJAKy0XpSaaNnJemspQNkPXe99N6L8HiKnubNTgnPLQD7EWkjI2l4tMlHuiDn2MAUy9CbZTYVdTUo9B1_9B18eg_yCepVeHH0PTQXsUHlJmv9eyfaU</recordid><startdate>19880301</startdate><enddate>19880301</enddate><creator>Coates, G R</creator><creator>Clements, J B</creator><creator>Yium, J</creator><creator>Watlington, J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880301</creationdate><title>Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment</title><author>Coates, G R ; Clements, J B ; Yium, J ; Watlington, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-f3e63f093771c5b7ece6bf38747fed72e1ce6fc48e4a4e19c856c0c1b826f9f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arm</topic><topic>Blood Vessel Prosthesis</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Constriction, Pathologic - etiology</topic><topic>Edema - etiology</topic><topic>Edema - therapy</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain - etiology</topic><topic>Pain Management</topic><topic>Renal Dialysis</topic><topic>Subclavian Vein</topic><topic>Vascular Diseases - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coates, G R</creatorcontrib><creatorcontrib>Clements, J B</creatorcontrib><creatorcontrib>Yium, J</creatorcontrib><creatorcontrib>Watlington, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coates, G R</au><au>Clements, J B</au><au>Yium, J</au><au>Watlington, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment</atitle><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle><addtitle>South Med J</addtitle><date>1988-03-01</date><risdate>1988</risdate><volume>81</volume><issue>3</issue><spage>303</spage><epage>305</epage><pages>303-305</pages><issn>0038-4348</issn><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.</abstract><cop>United States</cop><pmid>3347860</pmid><doi>10.1097/00007611-198803000-00004</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1988-03, Vol.81 (3), p.303-305 |
| issn | 0038-4348 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Aged, 80 and over Arm Blood Vessel Prosthesis Catheters, Indwelling - adverse effects Constriction, Pathologic - etiology Edema - etiology Edema - therapy Evaluation Studies as Topic Female Humans Male Middle Aged Pain - etiology Pain Management Renal Dialysis Subclavian Vein Vascular Diseases - etiology |
| title | Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment |
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