Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access

A 67-year-old woman with end-stage renal failure due to immunoglobulin A nephropathy had undergone hemodialysis for 20 years. The patient was dependent on catheterized dialysis and underwent 13 central venous catheter changes. A GlidePath catheter (Bard Medical, Georgia, USA) was placed in the right...

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Main Authors: Koichi Saiki, Takuro Fujita, Yoshihiro Toyama, Tomoko Yokoyama, Masahito Yamanaka
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325004169
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author Koichi Saiki
Takuro Fujita
Yoshihiro Toyama
Tomoko Yokoyama
Masahito Yamanaka
author_facet Koichi Saiki
Takuro Fujita
Yoshihiro Toyama
Tomoko Yokoyama
Masahito Yamanaka
author_sort Koichi Saiki
collection DOAJ
description A 67-year-old woman with end-stage renal failure due to immunoglobulin A nephropathy had undergone hemodialysis for 20 years. The patient was dependent on catheterized dialysis and underwent 13 central venous catheter changes. A GlidePath catheter (Bard Medical, Georgia, USA) was placed in the right femoral vein and removed because of infection. There was no alternative but to implant the central venous catheter at the same site. Computed tomography revealed stenosis of the right external iliac vein. Therefore, balloon dilation with a Mustang balloon (5.0 mm) (Boston Scientific, Marlborough, Massachusetts, USA) was performed before central venous catheter implantation. The number of patients undergoing dialysis who require vascular access catheters is expected to increase because of the aging population and extended duration of dialysis treatments. Balloon dilation prior to catheter placement is effective in patients with vascular stenosis.
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series Radiology Case Reports
spelling doaj-art-ff27c91db6c5494d8ddcdfc2dcd6be0f2025-08-20T02:05:13ZengElsevierRadiology Case Reports1930-04332025-08-012084051405510.1016/j.radcr.2025.04.119Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous accessKoichi Saiki0Takuro Fujita1Yoshihiro Toyama2Tomoko Yokoyama3Masahito Yamanaka4Department of Nephrology, Takamatsu Red Cross Hospital, Takamatsu, Japan; Corresponding author.Department of Nephrology, Takamatsu Red Cross Hospital, Takamatsu, JapanDepartment of Radiology, Takamatsu Red Cross Hospital, Takamatsu, JapanDepartment of Nephrology, Takamatsu Red Cross Hospital, Takamatsu, JapanDepartment of Urology, Takamatsu Red Cross Hospital, Takamatsu, JapanA 67-year-old woman with end-stage renal failure due to immunoglobulin A nephropathy had undergone hemodialysis for 20 years. The patient was dependent on catheterized dialysis and underwent 13 central venous catheter changes. A GlidePath catheter (Bard Medical, Georgia, USA) was placed in the right femoral vein and removed because of infection. There was no alternative but to implant the central venous catheter at the same site. Computed tomography revealed stenosis of the right external iliac vein. Therefore, balloon dilation with a Mustang balloon (5.0 mm) (Boston Scientific, Marlborough, Massachusetts, USA) was performed before central venous catheter implantation. The number of patients undergoing dialysis who require vascular access catheters is expected to increase because of the aging population and extended duration of dialysis treatments. Balloon dilation prior to catheter placement is effective in patients with vascular stenosis.http://www.sciencedirect.com/science/article/pii/S1930043325004169HemodialysisCentral venous catheterExternal iliac veinVascular accessCentral venous stenosis
spellingShingle Koichi Saiki
Takuro Fujita
Yoshihiro Toyama
Tomoko Yokoyama
Masahito Yamanaka
Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
Radiology Case Reports
Hemodialysis
Central venous catheter
External iliac vein
Vascular access
Central venous stenosis
title Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
title_full Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
title_fullStr Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
title_full_unstemmed Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
title_short Successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
title_sort successful hemodialysis catheter placement into a stenosed femoral vein using balloon dilation for central venous access
topic Hemodialysis
Central venous catheter
External iliac vein
Vascular access
Central venous stenosis
url http://www.sciencedirect.com/science/article/pii/S1930043325004169
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