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Nephron. 1991;58(1):103-5.

Subclavian vein stenosis, permanent cardiac pacemakers and the haemodialysed patient.

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  • 1Department of Nephrology, Hasharon Hospital, Petah-Tikva, Israel.


Two cases of subclavian vein stenosis secondary to permanent cardiac pacemakers are presented. Both stenoses were asymptomatic until arteriovenous fistulae/grafts were constructed in order to initiate haemodialysis. One patient experienced severe oedema of the arm which necessitated surgical closure of the graft. A literature review into major venous stenosis and cardiac pacemakers reveals an asymptomatic, but evidently underestimated, problem. As more elderly patients will be accepted onto haemodialysis programmes, this above-mentioned problem may become more common. Therapeutic answers as to haemodialysis access are discussed in these patients with permanent pacemakers who need haemodialysis.

[PubMed - indexed for MEDLINE]
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