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KMID : 0359920060250061055
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Korean Journal of Nephrology
2006 Volume.25 No. 6 p.1055 ~ p.1059
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A Case of Central Vein Stenosis in a Hemodialysis Patient with History of Humerus Osteomyelitis Ipsilateral to Arteriovenous Fistula
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Song Joo-Yong
Kang Hyeon-Hui
Kim Tae-Seok
Jang Eun-Chul
Yoo Seung-Hee
Kim Young-Soo
Yoon Sun-Ae
Won Yoo-Dong
Kim Young-Ok
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Abstract
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Central vein stenosis (CVS) is a serious complication in hemodialysis patients mostly related to central vein catheterization. Although rare, CVS may also develop without any previous history of central venous catheterization. Here we report a case of central vein stenosis in a hemodialysis patient with the history of humerus osteomyelitis ipsilateral to arteriovenous fistula. The patient did not have any previous history of central vein catheterization. She received radial artery-cephalic vein fistula operation for maintenance hemodialysis. Venography was performed because of inadequate vein maturation 2 months after the operation. Venography shows complete occlusion of left innominate vein, multiple collateral veins and backflow of left internal jugular vein. After percutaneous transluminal angioplasty with stent insertion, the innominate vein was fully dilated and the collateral vessels completely disappeared. (Korean J Nephrol 2006;25(6):1055-1059)
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KEYWORD
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Innominate vein, Stenosis, Etiology, Osteomyelitis, Hemodialysis
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