Stent Migration and Folding in the Subclavian Vein during Subclavian Hemodialysis Catheter Placement
Article first published online: 12 DEC 2008
© 2008 Copyright the Authors. Journal compilation © 2008 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 22, Issue 1, pages 81–83, January/February 2009
How to Cite
Adulla, M., Chan, M. R., Hermsen, J. L., Tefera, G. and Yevzlin, A. S. (2009), Stent Migration and Folding in the Subclavian Vein during Subclavian Hemodialysis Catheter Placement. Seminars in Dialysis, 22: 81–83. doi: 10.1111/j.1525-139X.2008.00520.x
- Issue published online: 20 FEB 2009
- Article first published online: 12 DEC 2008
The role of stent placement in hemodialysis (HD) access intervention continues to evolve. As more stents are placed, new and unusual complications are coming to light. We describe a case in which an unsuccessful attempt to place a left subclavian dialysis catheter resulted in the inadvertent migration and folding of a previously deployed subclavian stent. Attempts to remove the stent with a snare were unsuccessful. Patency was restored to the access circuit by placing a new stent through the struts of the folded one. Clinical vascular practice guidelines for vascular access on the use of fluoroscopy for temporary HD catheter placement may need to be re-evaluated with the reported increase in stent placement in the US HD population.