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    • Assessment of Technical Success and Primary Patency of the Central Veins after PTA Alone Or With Stenting To Treat Patients Having Upper Limb Venous Hypertension after Creation of an Arterio-Venous Access

    Sherif Essam Tawfik MD, Mohamed Abd El-Monem Abd El-Salam Rizk MD, Abd elrahman Mohamed MD
    Vascular Surgery Department, Ain Shams University

    Aim: To assess the primary patency of the central veins of the upper limb after percutaneous transluminal balloon angioplasty (PTA) with or without stenting, and to determine if there is a difference between early and late intervention as regard technical success, also to assess the effect of lesion character on technical success. Patients & Methods: Twenty seven (27) patients having venous hypertension of the upper limb on regular hemodialysis at Ain Shams University Hospitals dialysis units from January 2014 till July 2014, were included in the study. Patients underwent balloon dilatation of stenotic or completely occluded central veins with or without stenting and the primary patency of this procedure was assessed through a period of a year. Results: The technical success rate was 85.2% (n=23), 1ry stenting was done in 63% (n=17) of cases. The patency rate in 6 months was 47.8%, and in one year was 37%. Success rate in early cases were 94.4% /n=17, while in late cases were 66.7% /n=6. 1ry stenting was 64.7%/n=11 in early cases while in late cases it was 100%/n=6. Conclusion: Percutaneous transluminal angioplasty alone or with stentning carry a high technical success rate especially if done in the first 6 months from the occurrence of symptoms. Key words: Venous hypertension, PTA for central viens, primary stenting of central veins.

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