All That Glitters is Not Gold: All Unilateral Oedema is Not DVT OD10-OD11
Dr. Ashwal A. Jayaram,
Assistant Professor, Department of Cardiology, Kasturba Medical College,
Manipal University, Manipal-576104, Karnataka, India.
Innominate vein stenosis or thrombotic occlusion can occur in dialysis patients. Central vein stenosis is a common problem in patients on dialysis. Placement of a central vein catheter for dialysis access increases the risk of central vein stenosis. Central vein stenosis sometimes can jeopardize the arteriovenous fistula and arteriovenous graft in the ipsilateral extremity unless recognized early and treated. We describe three patients with left innominate vein stenosis who were known case of chronic kidney disease on haemodialysis and had a left brachio-cephalic fistula and presented with unilateral facial and upper limb oedema.