Cephalic arch stenosis: Location of stenosis in indian hemodialysis patients
The cephalic vein is formed over the "anatomical snuff box" and joins the axillary vein just below the clavicular level. The definition of cephalic arch is varied. In the radiology literature, it is defined as the central perpendicular portion of the cephalic vein as it traverses the delto...
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| Veröffentlicht in: | Indian journal of nephrology 2018-07, Vol.28 (4), p.273-277 |
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| creator | Sarala, S Sangeetha, B Mahapatra, V Nagaraju, R Kumar, A. C. V Lakshmi, A Ram, R Kumar, V |
| description | The cephalic vein is formed over the "anatomical snuff box" and joins the axillary vein just below the clavicular level. The definition of cephalic arch is varied. In the radiology literature, it is defined as the central perpendicular portion of the cephalic vein as it traverses the deltopectoral groove and joins the axillary vein. The possible etiologies of cephalic arch stenosis are numerous. This study aimed to identify patients with cephalic arch stenosis and to discern the domain site of stenosis. This is a retrospective case series of patients who had an arteriovenous fistula with dysfunction of access and ipsilateral upper-limb edema. The clinical features of the access dysfunction were strong pulse due to increased pressure, weak thrill due to poor proximal flow, high static pressure, or decreased dialysis efficiency. All these 25 patients underwent computed tomography (CT) angiogram. The CT angiographic findings revealed cephalic arch stenosis and stenosis in 13 patients (52%). domain IV was slightly more affected than other domains of cephalic arch. |
| doi_str_mv | 10.4103/ijn.IJN_321_16 |
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The clinical features of the access dysfunction were strong pulse due to increased pressure, weak thrill due to poor proximal flow, high static pressure, or decreased dialysis efficiency. All these 25 patients underwent computed tomography (CT) angiogram. The CT angiographic findings revealed cephalic arch stenosis and stenosis in 13 patients (52%). domain IV was slightly more affected than other domains of cephalic arch.</description><identifier>ISSN: 0971-4065</identifier><identifier>EISSN: 1998-3662</identifier><identifier>DOI: 10.4103/ijn.IJN_321_16</identifier><identifier>PMID: 30158744</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Angioplasty ; Care and treatment ; CAT scans ; Catheters ; Central venous catheters ; Edema ; Fistula ; Health aspects ; Hemodialysis ; Hemodialysis patients ; Original ; Patients ; Stenosis ; Veins & arteries ; Venous access</subject><ispartof>Indian journal of nephrology, 2018-07, Vol.28 (4), p.273-277</ispartof><rights>COPYRIGHT 2018 Medknow Publications and Media Pvt. Ltd.</rights><rights>2018. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2018 Indian Journal of Nephrology 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c573c-288adfe4108c3e4e0ca18ea27b9f93e43e5dad1d5d08a82e47b02b87dda021863</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094841/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094841/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27437,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30158744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarala, S</creatorcontrib><creatorcontrib>Sangeetha, B</creatorcontrib><creatorcontrib>Mahapatra, V</creatorcontrib><creatorcontrib>Nagaraju, R</creatorcontrib><creatorcontrib>Kumar, A. 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The clinical features of the access dysfunction were strong pulse due to increased pressure, weak thrill due to poor proximal flow, high static pressure, or decreased dialysis efficiency. All these 25 patients underwent computed tomography (CT) angiogram. 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| ispartof | Indian journal of nephrology, 2018-07, Vol.28 (4), p.273-277 |
| issn | 0971-4065 1998-3662 |
| language | eng |
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| source | Medknow Open Access Medical Journals(OpenAccess); PubMed Central; EZB Electronic Journals Library |
| subjects | Angioplasty Care and treatment CAT scans Catheters Central venous catheters Edema Fistula Health aspects Hemodialysis Hemodialysis patients Original Patients Stenosis Veins & arteries Venous access |
| title | Cephalic arch stenosis: Location of stenosis in indian hemodialysis patients |
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