Subclavian vein stenosis, permanent cardiac pacemakers and the haemodialysed patient

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Abstract

Two cases of subclavian vein stenosis secondary to permanent cardiac pacemakers are presented. Both stenoses were asymptomatic until arteriovenous fistulae/grafts were constructed in order to initiate haemodialysis. One patient experienced severe oedema of the arm which necessitated surgical closure of the graft. A literature review into major venous stenosis and cardiac pacemakers reveals an asymptomatic, but evidently underestimated, problem. As more elderly patients will be accepted onto haemodialysis programmes, this above-mentioned problem may become more common. Therapeutic answers as to haemodialysis access are discussed in these patients with permanent pacemakers who need haemodialysis.

Original languageEnglish
Pages (from-to)103-105
Number of pages3
JournalNephron
Volume58
Issue number1
DOIs
StatePublished - 1991
Externally publishedYes

Keywords

  • cardiac pacemakers
  • haemodialysis
  • subclavian vein thrombosis

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