Efficacy of Percutaneous Transluminal Angioplasty for Internal Jugular Vein Occlusion with Difficult Dialysis Catheter Placement

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https://storage.unitedwebnetwork.com/files/1099/231d84bc8959b3cd1d095aa3943a3bbc.pdf

Abstract Title *

Efficacy of Percutaneous Transluminal Angioplasty for Internal Jugular Vein Occlusion with Difficult Dialysis Catheter Placement

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Co-author 1

Eisuke Nakamura nakamura.eisuke@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan *

Co-author 2

Kazufumi Sakurama kazufumi7@gmail.com Shigei Medical Research Institute Hospital Department of Surgery Okayama Japan -

Co-author 3

Hirona Nagano nagano.hirona@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 4

Yuko Sakurai sakurai.yuko@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 5

Masato Higashitani higashitani.masato@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 6

Aiko Shiraishi shiraishi.aiko@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 7

Yasushi Kunisho kunisho.yasushi@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 8

Keisuke Onishi onishi.keisuke@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 9

Tadashi Sofue sofue.tadashi@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 10

Tetsuo Minamino minamino.tetsuo.gk@kagawa-u.ac.jp Kagawa University Department of CardioRenal and CerebroVascular Medicine Kagawa Japan -

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Introduction

Central venous catheterization via the internal jugular vein (IJV) is essential for hemodialysis patients lacking viable arteriovenous access. However, repeated catheterizations can cause IJV occlusion, making reinsertion difficult and limiting future vascular options.

Methods

We retrospectively reviewed four end-stage renal disease patients with chronic right IJV occlusion in whom tunneled cuffed catheter placement was technically challenging or impossible. Percutaneous transluminal angioplasty (PTA) was performed to recanalize the occluded venous segment, followed by tunneled catheter insertion.

Results

All patients had a history of multiple prior vascular interventions and presented with partial or complete IJV occlusion. PTA successfully restored venous patency in all cases, enabling safe tunneled cuffed catheter placement. No major procedure-related complications occurred.

Conclusion

PTA is a safe and effective method to restore central venous access in hemodialysis patients with IJV occlusion. This approach can preserve optimal vascular routes in patients with limited access options. Further studies are warranted to evaluate long-term patency and clinical outcomes.

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