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Central Vein Stenosis in Patient with Routine Haemodialysis: From Diagnosis and Prompt Treatment A Case Report

Heart Science Journal · Vol. 3 No. 4 (2022) · hlm. 40–43

DOI
10.21776/ub.hsj.2022.003.04.8
ISSN
2721-9984, 2721-9976
Terbit
2022-11-14
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Central vein stenosis (CVS) is common in hemodialysis patients caused by the implantation of cardiac intravascular devices, venous access, and limited vascular access. Until an arteriovenous fistula (AVF) or graft is established in the ipsilateral arm or forearm for hemodialysis, the effect may develop. Arm edema, significant venous dilatation, and recurring infections are common complications of having an ipsilateral arteriovenous fistula or graft. We present the case of a 50-year-old female who developed symptomatic CVS while being on regular hemodialysis. A venography using a catheter revealed a significant stenosis of the subclavian vein. Due to central venous stenosis, this patient had substantial edema of her left arms after undergoing an ipsilateral arteriovenous graft. Multiple endovascular treatments have failed to alleviate the symptoms. The incidence and danger of central vein stenosis in hemodialysis patients are discussed, as well as the success of endovascular therapies. The initial line of therapy should be percutaneous balloon angioplasty. Unfortunately, after angioplasty or stenting, primary patency is poor. If there is recurring stenosis, the procedure can be repeated.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
  • Afiliasi tidak diketahui
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya39
Anna Fuji RahimahUniversity of Brawijaya28
Setyasih AnjarwaniUniversity of Brawijaya27
Cholid Tri TjahjonoUniversity of Brawijaya25
Ardian RizalUniversity of Brawijaya22
Budi SatrijoUniversity of Brawijaya22
Sasmojo WiditoUniversity of Brawijaya18
Heny MartiniUniversity of Brawijaya16
Wella KarolinaUniversity of Brawijaya6
Putri Annisa KamilaUniversity of Brawijaya6
Seprian WidasmaraUniversity of Brawijaya5
Tria Yudha NugrahaUniversity of Brawijaya4
Sawitri SatwikajatiUniversity of Brawijaya4
Muhammad Rizki FadlanUniversity of Brawijaya4
Yoga WaranugrahaUniversity of Brawijaya3
Adhika Prastya WikanandaUniversity of Brawijaya3
Hayla Iqda MillisaniUniversity of Brawijaya3
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang3
Valerinna YogibuanaAfiliasi tidak diketahui3
Irma KameliaUniversity of Brawijaya3
Nikhen NoverikeUniversity of Brawijaya3
Lutfi Hafiz ZunardiUniversity of Brawijaya3
Teguh AryanugrahaUniversity of Brawijaya3
Dea Arie KurniawanUniversity of Brawijaya3
Nisa Amnifolia NiaztaUniversity of Brawijaya3
Anna Fuji RahimahAfiliasi tidak diketahui3
Liemena Harold AdrianRSUD Prof. Dr. Saiful Anwar Malang3
Ayu Asri Devi AdityawatiUniversity of Brawijaya3
Dadang HendrawanUniversity of Brawijaya2
Yoseph Budi UtomoUniversity of Brawijaya2
Ardian RizalUniversity of Brawijaya2
Taufieq Ridlo MakhmudUniversity of Brawijaya2
Faris Wahyu NugrohoUniversity of Brawijaya2
Anita Surya SantosoAfiliasi tidak diketahui2
Ratna PancasariUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Central Vein Stenosis in Patient with Routine Haemodialysis:  From Diagnosis and Prompt Treatment A Case Report</dc:title>
	<dc:creator xml:lang="en">Apriditya, Yudi Putra</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Sargowo, Djanggan</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:subject xml:lang="en">Arm edema</dc:subject>
	<dc:subject xml:lang="en">Central vein stenosis</dc:subject>
	<dc:subject xml:lang="en">percutaneous transluminal venoplasty</dc:subject>
	<dc:subject xml:lang="en">arterio-venous fistula</dc:subject>
	<dc:subject xml:lang="en">graft</dc:subject>
	<dc:description xml:lang="en">Central vein stenosis (CVS) is common in hemodialysis patients caused by the implantation of cardiac intravascular devices, venous access, and limited vascular access. Until an arteriovenous fistula (AVF) or graft is established in the ipsilateral arm or forearm for hemodialysis, the effect may develop. Arm edema, significant venous dilatation, and recurring infections are common complications of having an ipsilateral arteriovenous fistula or graft. We present the case of a 50-year-old female who developed symptomatic CVS while being on regular hemodialysis. A venography using a catheter revealed a significant stenosis of the subclavian vein. Due to central venous stenosis, this patient had substantial edema of her left arms after undergoing an ipsilateral arteriovenous graft. Multiple endovascular treatments have failed to alleviate the symptoms. The incidence and danger of central vein stenosis in hemodialysis patients are discussed, as well as the success of endovascular therapies. The initial line of therapy should be percutaneous balloon angioplasty. Unfortunately, after angioplasty or stenting, primary patency is poor. If there is recurring stenosis, the procedure can be repeated.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2022-11-14</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1342</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2022.003.04.8</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 3 No. 4 (2022): Prevention, Screening dan Rehabilitation : The Back Bone of Quality Care Improvement in CVD Management; 40-43</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2022.003.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1342/247</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Yudi Putra Apriditya</dc:rights>
</oai_dc:dc>