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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2003  |  Volume : 14  |  Issue : 2  |  Page : 194-196
Brachiocephalic Vein Stenosis in a Patient with End-Stage Renal Disease Without Prior Central Vein Cannulation


Medical Department, National University of Malaysia, Kuala Lumpur, Malaysia

Correspondence Address:
A R Fauzi
Medical Department, National University of Malaysia, 56000 Cheras, Kuala Lumpur
Malaysia
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PMID: 18209446

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Central vein stenosis is usually associated with previous cannulation or trauma to the affected vein. This pathology may present as ipsilateral arm swelling in patients in whom a recent arteriovenous fistula has been prepared for chronic hemodialysis. The presence of central vein stenosis without prior trauma or cannulation is not hitherto reported to the best of our knowledge. We herewith report a patient with end-stage renal disease who was initiated on chronic dialysis using an arteriovenous fistula, who was noted to have central vein stenosis. This was despite her never having had any central vein cannulation or previous known trauma. Venogram confirmed the presence of brachiocephalic vein stenosis. The patient underwent venographic stenting of the involved vein with good success.


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