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KMID : 0390620110190040203
Journal of Cardiovascular Ultrasound
2011 Volume.19 No. 4 p.203 ~ p.206
Surgical Removal of Endovascular Stent after Migration to the Right Ventricle Following Right Subclavian Vein Deployment for Treatment of Central Venous Stenosis
Kang Wook

Kim Il-Soo
Kim Ji-Ung
Cheon Ji-Hyun
Kim Seon-Kwang
Ko Sung-Hyun
Kim Su-Hong
Cho Sung-Ho
Lee Sea-Won
Abstract
Central venous stenosis or occlusion occurs in 11-50% of hemodialysis patients with prior subclavian vein cannulation and ipsilateral fistula or shunt. Most patients are asymptomatic but some require treatment to reduce the risk of thrombosis and improve inadequate hemodialysis pressure. In these cases, endovascular intervention, including ballooning and stenting, is a feasible strategy for selected patents. We report an unusual case of a 40-year-old man on hemodialysis that underwent endovascular stenting to treat right subclavian vein stenosis and experienced stent migration to the right ventricle, requiring surgical removal.
KEYWORD
Stent , Endovascular angioplasty , Subclavian vein , Stenosis , Hemodialysis
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