Thoracic central venous occlusion from the interventional radiology perspective.

ABSTRACT: Central venous occlusion is a common condition in certain patient populations, with significant associated morbidity. Symptoms range from mild arm swelling to respiratory distress and can be particularly troublesome in the end stage renal disease population when related to dialysis access and function. Crossing completely occluded vessels is often the most challenging step and various techniques exist to accomplish this. Traditionally, blunt and sharp recanalization techniques are used to cross occluded vessels and are described in detail. Even with experienced providers there are lesions which prove to be too difficult and are refractory to traditional approaches. We discuss advanced techniques such as with radiofrequency guidewires as well as newer technologies which offer an alternative

SUBMITTER: Rashwan B 

PROVIDER: S-EPMC9971304 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature