TY - JOUR
T1 - Neurologic and ophthalmologic complications of vascular access in a hemodialysis patient
AU - Cleper, Roxana
AU - Goldenberg-Cohen, Nitza
AU - Kornreich, Liora
AU - Krause, Irit
AU - Davidovits, Miriam
PY - 2007/9
Y1 - 2007/9
N2 - Patients on long-term hemodialysis undergo multiple interventions, including insertion of central catheters and arteriovenous anastomoses for creation of vascular access. The need for high-flow vessels to maintain hemodialysis efficiency leads to wear on the central veins and consequent stenosis and occlusion. In addition to local signs of impaired venous drainage, abnormal venous flow patterns involving the upper chest, face, and central nervous system might develop. We describe the first pediatric case of devastating intracranial hypertension presenting with visual loss in the eye contralateral to a high-flow vascular access in a patient on long-term hemodialysis. The literature on this rare complication of hemodialysis is reviewed.
AB - Patients on long-term hemodialysis undergo multiple interventions, including insertion of central catheters and arteriovenous anastomoses for creation of vascular access. The need for high-flow vessels to maintain hemodialysis efficiency leads to wear on the central veins and consequent stenosis and occlusion. In addition to local signs of impaired venous drainage, abnormal venous flow patterns involving the upper chest, face, and central nervous system might develop. We describe the first pediatric case of devastating intracranial hypertension presenting with visual loss in the eye contralateral to a high-flow vascular access in a patient on long-term hemodialysis. The literature on this rare complication of hemodialysis is reviewed.
KW - Cerebral venous infarction
KW - Hemodialysis
KW - Intracranial hypertension
KW - Papilledema
KW - Vascular access (high-flow)
KW - Visual loss
UR - http://www.scopus.com/inward/record.url?scp=34447299083&partnerID=8YFLogxK
U2 - 10.1007/s00467-007-0491-5
DO - 10.1007/s00467-007-0491-5
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C2 - 17487512
AN - SCOPUS:34447299083
SN - 0931-041X
VL - 22
SP - 1377
EP - 1382
JO - Pediatric Nephrology
JF - Pediatric Nephrology
IS - 9
ER -