Home > Riviste > Italian Journal of Vascular and Endovascular Surgery > Fascicoli precedenti > Italian Journal of Vascular and Endovascular Surgery 2017 December;24(4) > Italian Journal of Vascular and Endovascular Surgery 2017 December;24(4):146-50

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare


Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Emerging Sources Citation Index, Scopus


eTOC

 

ORIGINAL ARTICLE  FREEfree


Italian Journal of Vascular and Endovascular Surgery 2017 December;24(4):146-50

DOI: 10.23736/S1824-4777.17.01308-0

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Single versus dual access as endovascular techniques in the management of challenging central venous occlusive disease: success rate and efficacy

Ahmed R. TAWFIK , Khadiga S. GAD EL-RAB

Department of Vascular Surgery, Kasr Ani Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt


PDF  


BACKGROUND: Central venous occlusion and access dysfunction is a major complication for centrally inserted catheters. Endovascular intervention provides a suitable solution for such complication. The aim of this study was to evaluate, demonstrate different endovascular techniques in the management of central venous occlusion in chronic renal failure (CRF) patients.
METHODS: CRF patients who had symptomatic central venous occlusion underwent venography followed by percutaneous transluminal angioplasty using standard conventional technique or double wire flossing technique in challenging cases.
RESULTS: Twenty-one patients had central venous occlusion, in two cases the lesion extend to the superior vena cava. Flossing wire technique performed in 28.4%. Technical success rate was 95.23%.
CONCLUSIONS: Endovascular intervention is feasible with low complication rate. Wire flossing technique is a safe technique for challenging long chronic total occlusion central venous lesions where covered stents is not available for fear of fatal hemorrhagic complications.


KEY WORDS: Endovascular procedures - Angioplasty - Stents - Vascular access devices

inizio pagina

Publication History

Issue published online: November 6, 2017
Manuscript accepted: September 19, 2017
Manuscript received: September 7, 2017

Per citare questo articolo

Tawfik AR, Gad el-Rab KS. Single versus dual access as endovascular techniques in the management of challenging central venous occlusive disease: success rate and efficacy. Ital J Vasc Endovasc Surg 2017;24:146-50. DOI: 10.23736/S1824-4777.17.01308-0

Corresponding author e-mail

ahmed_r_towfiek@yahoo.com