All That Glitters is Not Gold:
All Unilateral Oedema is Not DVT
Published: July 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.8168
Ashwal Adamane Jayaram, Padma Kumar Rama Chandran, Tom Devasiya, Abdul Razakuddina Kumeri, Umesh Pai
1. Assistant Professor, Department of Cardiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
2. Professor, Department of Cardiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
3. Professor, Department of Cardiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
4. Assistant Professor, Department of Cardiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
5. Assistant Professor, Department of School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.
Correspondence Address :
Dr. Ashwal A. Jayaram,
Assistant Professor, Department of Cardiology, Kasturba Medical College,
Manipal University, Manipal-576104, Karnataka, India.
E-mail: dr.ashwal@gmail.com
Abstract
Innominate vein stenosis or thrombotic occlusion can occur in dialysis patients. Central vein stenosis is a common problem in patients on dialysis. Placement of a central vein catheter for dialysis access increases the risk of central vein stenosis. Central vein stenosis sometimes can jeopardize the arteriovenous fistula and arteriovenous graft in the ipsilateral extremity unless recognized early and treated. We describe three patients with left innominate vein stenosis who were known case of chronic kidney disease on haemodialysis and had a left brachio-cephalic fistula and presented with unilateral facial and upper limb oedema.
Keywords
Haemodialysis, Innominate vein stenosis, Percutaneous intervention