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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) · pp. 40–43

DOI
10.21776/ub.hsj.2022.003.04.8
ISSN
2721-9984, 2721-9976
Published
2022-11-14
Publisher
Universitas Brawijaya
Language
en

Abstract

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.

Keywords

Collaboration network of the authors

40 authors · 276 co-authorship links · showing the 40 most connected

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  • University of Brawijaya
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Mohammad Saifur RohmanAffiliation unknown38
Anna Fuji RahimahAffiliation unknown30
Ardian RizalAffiliation unknown25
Setyasih AnjarwaniAffiliation unknown24
Cholid Tri TjahjonoAffiliation unknown24
Budi SatrijoAffiliation unknown22
Sasmojo WiditoAffiliation unknown18
Heny MartiniAffiliation unknown18
Wella KarolinaAffiliation unknown6
Putri Annisa KamilaUniversity of Brawijaya6
Seprian WidasmaraAffiliation unknown5
Sawitri SatwikajatiAffiliation unknown4
Yoga WaranugrahaAffiliation unknown3
Adhika Prastya WikanandaAffiliation unknown3
Hayla Iqda MillisaniAffiliation unknown3
Danti Utami SetyowatiAffiliation unknown3
Valerinna YogibuanaAffiliation unknown3
Anita Surya SantosoAffiliation unknown3
Irma KameliaAffiliation unknown3
Dyah Ayu IkeningrumAffiliation unknown3
Oktafin Srywati PamunaAffiliation unknown3
Nikhen NoverikeAffiliation unknown3
Lutfi Hafiz ZunardiAffiliation unknown3
Teguh AryanugrahaAffiliation unknown3
Dea Arie KurniawanAffiliation unknown3
Nisa Amnifolia NiaztaAffiliation unknown3
Liemena Harold AdrianAffiliation unknown3
Muhammad Rizki FadlanAffiliation unknown3
Ayu Asri Devi AdityawatiAffiliation unknown3
Dadang HendrawanAffiliation unknown2
Yoseph Budi UtomoAffiliation unknown2
Taufieq Ridlo MakhmudAffiliation unknown2
Faris Wahyu NugrohoAffiliation unknown2
Ratna PancasariAffiliation unknown2
Muhammad Saifur RohmanAffiliation unknown2
Imelda KrisnasariAffiliation unknown2

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (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>