Gerardo Laksono, Yosis Y Motulo, Paul L Tahalele


Introduction: The increased of central vein access for hemodialysis in chronic kidney disease patients has led to increase of side effect in clinically relevant stenosis of subclavian vein. One of therapeutic options to solve stenosis of subclavian vein is endovascular treatment Percutaneous Transluminal Angioplasty (PTA) .

Objectives: To show our experience in treating subclavian vein stenosis using Endovacular treatment Percutaneous Transluminal Angioplasty (PTA).

Materials and Methods: A retrospective study in 62 chronic kidney disease patients who undergo hemodyalisis with stenosis of subclavian vein treated with PTA in 3 hospitals in Surabaya from October 2017-October 2020 with range age 18-70 years was conducted .

Results: We performed PTA for subclavian vein stenosis in 62 cases. Partial stenosis was found in 35 cases and total occlusion in 27 cases. For 27 total occlusion cases, 19 cases can still be opened, but 8 cases can’t be opened or recanalization and we drop out these patient. 54 cases (87%) were good and 8 cases (13%) can’t be open. The result of PTA in treating stenosis of subclavian vein was good. The result of reduced in arm swelling and using doppler USG follow up are 100%(54/54) after 1 month, 100%(54/54) after 3 months, 90.7% (49/54) after 6 months.

Conclusion: Percutaneous Transluminal Angioplasty (PTA) is effective in treating subclavian vein stenosis reliefe its symptomps. The patency rate is 90.7% after 6 months post procedure of PTA.

Save to Mendeley


Endovascular Treatment; Central Venous Stenosis; Hemodialysis

Full Text:



Agarwal, A. K. (2015) ‘Endovascular interventions for central vein stenosis.’, Kidney research and clinical practice, 34(4), pp. 228–232. doi: 10.1016/j.krcp.2015.10.005.

Aj, A. et al. (2018) ‘Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis access.’, Indian heart journal, 70(5), pp. 690–698. doi: 10.1016/j.ihj.2018.01.013.

Banshodani, M. et al. (2014) ‘Percutaneous transluminal angioplasty for central venous disease in dialysis patients: influence on cardiac function.’, The journal of vascular access. United States, 15(6), pp. 492–497. doi: 10.5301/jva.5000270.

Bountouris, I. et al. (2018) ‘A Review of Percutaneous Transluminal Angioplasty in Hemodialysis Fistula’, International Journal of Vascular Medicine, 2018. doi: 10.1155/2018/1420136.

Cui, L. et al. (2021) ‘A retrospective cohort study comparing high and low balloon inflation pressure on technical success and patency for treating central venous lesions in patients on chronic hemodialysis’, Renal Failure. Taylor & Francis, 43(1), pp. 1281–1287. doi: 10.1080/0886022X.2021.1975741.

Dinoto, E. et al. (2020) ‘Endovascular Treatment with Drug-Eluting Balloon for Severe Subclavian Artery Stenosis Involving the Origin of the Vertebral Artery.’, Translational medicine @ UniSa, 21, pp. 35–37.

Eguchi, D. and Honma, K. (2020) ‘Results of Stenting for Central Venous Occlusions and Stenoses in the Hemodialysis Patients.’, Annals of vascular diseases, 13(3), pp. 235–239. doi: 10.3400/avd.oa.20-00114.

Ehrie, J. M. et al. (2017) ‘Unmasking of Previously Asymptomatic Central Venous Stenosis following Percutaneous Transluminal Angioplasty of Hemodialysis Access.’, Journal of vascular and interventional radiology : JVIR. United States, 28(10), pp. 1409–1414. doi: 10.1016/j.jvir.2017.07.006.

Horita, Y. (2019) ‘Percutaneous transluminal angioplasty for central venous stenosis or occlusion in hemodialysis patients.’, The journal of vascular access. United States, 20(1_suppl), pp. 87–92. doi: 10.1177/1129729817747545.

Ibrahim, H. (2021) ‘Outcomes of Percutaneous Transluminal Angioplasty for Central Vein Stenosis in Hemodialysis: A Literature Review’, The New Ropanasuri Journal of Surgery, 6(1), pp. 10–13. doi: 10.7454/nrjs.v6i1.1094.

Iida, O. et al. (2018) ‘Drug-Coated Balloon vs Standard Percutaneous Transluminal Angioplasty for the Treatment of Atherosclerotic Lesions in the Superficial Femoral and Proximal Popliteal Arteries: One-Year Results of the MDT-2113 SFA Japan Randomized Trial’, Journal of Endovascular Therapy, 25(1), pp. 109–117. doi: 10.1177/1526602817745565.

Joshi, A. S. and Agrawal, D. P. (2020) ‘Arteriovenous fistula takedown in hemodialysis patients: our experience of 26 cases.’, Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 17(3), pp. 132–136. doi: 10.5114/kitp.2020.99076.

Kahraman, N. and Demir, D. (2019) ‘Outcomes of arteriovenous fistula reconstruction in vascular access dysfunction.’, American journal of translational research, 11(2), pp. 1058–1065.

Nayak-Rao, S. et al. (2020) ‘Endovascular Intervention for Central Venous Stenosis in Hemodialysis Patients: A Single-center Experience.’, Indian journal of nephrology, pp. 337–341. doi: 10.4103/ijn.IJN_343_19.

Quaretti, P. et al. (2016) ‘Stent Grafts Provided Superior Primary Patency for Central Venous Stenosis Treatment in Comparison with Angioplasty and Bare Metal Stent: A Retrospective Single Center Study on 70 Hemodialysis Patients.’, Vascular and endovascular surgery. United States, 50(4), pp. 221–230. doi: 10.1177/1538574416639149.

Ronald, J. et al. (2017) ‘Treatment of central venous in-stent restenosis with repeat stent deployment in hemodialysis patients.’, The journal of vascular access. United States, 18(3), pp. 214–219. doi: 10.5301/jva.5000705.

Shi, Y. et al. (2013) ‘Endovascular treatment of central venous stenosis and obstruction in hemodialysis patients.’, Chinese medical journal. China, 126(3), pp. 426–430.

Shintaku, S. et al. (2019) ‘The efficacy of drug-eluting stent for recurrent central venous restenosis in a patient undergoing hemodialysis.’, The journal of vascular access. United States, 20(1_suppl), pp. 76–79. doi: 10.1177/1129729818763473.

Szewczyk, D. et al. (2019) ‘Creation of Arteriovenous Fistulas and Grafts Concomitantly with Endovascular Correction of Outflow Veins: A Hybrid Procedure.’, Annals of vascular surgery. Netherlands, 61, pp. 356–362. doi: 10.1016/j.avsg.2019.04.047.

Vesely, T. M. et al. (1997) ‘Upper extremity central venous obstruction in hemodialysis patients: treatment with Wallstents.’, Radiology. United States, 204(2), pp. 343–348. doi: 10.1148/radiology.204.2.9240518.

Wu, T.-Y. et al. (2020) ‘Comparison of Percutaneous Transluminal Angioplasty with Stenting for Treatment of Central Venous Stenosis or Occlusion in Hemodialysis Patients: A Systematic Review and Meta-analysis’, CardioVascular and Interventional Radiology, 43(4), pp. 525–540. doi: 10.1007/s00270-019-02383-7.

Yadav, M. K. et al. (2015) ‘Endovascular treatment of central venous obstruction as a complication of prolonged hemodialysis - Preliminary experience in a tertiary care center.’, The Indian journal of radiology & imaging, 25(4), pp. 368–374. doi: 10.4103/0971-3026.169463.



  • There are currently no refbacks.