Venous Hypertension in the Upper Limb: A Complication of a Permanent Haemodialysis Catheter

AbstractThe majority of patients with end-stage renal disease are dependent on haemodialysis. Significant stenosis or occlusion of the subclavian vein may occur in patients who have a cuffed central venous catheter inserted. After subclavian canulation and an ipsilateral arteriovenous fistula, venous hypertension may occur. In this report we present a 44-year-old male patient who have stenosis of right subclavian vein due to permanent vascular access, after new an arteriovenous fistula was created in ipsilateral upper extremity, and seen subsequently venous hypertension. Duplex ultrasonography and magnetic resonance imaging confirmed the diagnosis. The catheter was removed and the fistula ligated at operation. The symptoms resolved and the patient was discharged five days postoperatively