Lesion Type Analysis of Hemodialysis Patients Who Underwent Endovascular Management for Symptomatic Central Venous Disease

• Published in: Vascular health and risk management 2020-01, Vol.16, p.419-427
• Main Authors: Aljarrah, Qusai, Allouh, Mohammed, Hallak, Amer H, Alghezawi, Shamikh E, Al-Omari, Mamoon, Elheis, Mwaffaq, Al-Jarrah, Mooath, Bakkar, Sohail, Aleshawi, Abdelwahab J, Al-Jarrah, Hussam, Ibrahim, Khalid S, Al Shishani, Jan Mohammed, Almukhtar, Aws
• Format: Article
• Language: English
• Subjects: Adult; Aged; Angioplasty; Arteriovenous Shunt, Surgical - adverse effects; brachiocephalic vein; Catheterization, Central Venous - adverse effects; Catheters; central line catheterization; central venous lesions; Comorbidity; Constriction, Pathologic; Demographics; Edema; Endovascular Procedures - adverse effects; Female; Fistula; Hemodialysis; Humans; Incidence; Intervention; Intubation; Jordan - epidemiology; Kidney Failure, Chronic - diagnosis; Kidney Failure, Chronic - epidemiology; Kidney Failure, Chronic - therapy; Male; Medical imaging; Middle Aged; Original Research; Pacemakers; Patients; percutaneous transluminal angioplasty; Regression analysis; Renal Dialysis; Retrospective Studies; Risk Factors; Stents; Success; Treatment Outcome; Vascular Diseases - diagnostic imaging; Vascular Diseases - epidemiology; Vascular Diseases - physiopathology; Vascular Diseases - therapy; Vascular Patency; Veins - diagnostic imaging; Veins - physiopathology
• ISSN: 1178-2048; 1176-6344; 1178-2048
• DOI: 10.2147/VHRM.S273450

Central venous lesions (CVLs) can adversely affect hemodialysis access maturation and maintenance, which in turn worsen patient morbidity and access circuit patency. In this study, we assessed several clinical variables, patient characteristics, and clinical consequences of symptomatic central vein stenosis and obstruction in patients who underwent renal replacement therapy in the form of hemodialysis. The medical records of all hemodialysis patients with clinically symptomatic CVLs who underwent digital subtraction angiography treatment at King Abdullah University Hospital between January 2017 and December 2019 were retrieved. Patient characteristics and the clinical and anatomical features of CVLs were analyzed retrospectively. Pearson's chi-square tests of association were used to identify and assess relationships between patient characteristics and CVLs. The study cohort comprised 66 patients with end-stage renal disease who developed symptomatic central vein stenosis. Of the 66 patients, 56.1% were men, and their mean age was approximately 52 years. Most (62.1%) of the patients were determined to have a history of central catheter insertion into the jugular vein. Hypertension was the most common comorbidity (78.8%,