Key result
Central venous revascularization linked to acute high-output heart failure in a CKD patient.
Case Report (n=1)
Correction of central venous occlusion via percutaneous angioplasty and stenting can precipitate acute high-output heart failure.
Alerts clinicians to possible high-output HF after central venous stenting in CKD; single case leaves open causality and generalizability.
Temporary or permanent central venous catheter (CVC) insertion has been performed frequently for hemodialysis treatment. One of the most important long-term complications of CVC is the central venous occlusion (CVO). Treatment of CVO consists of percutaneous angioplasty (PTA), PTA and stent implantation, or surgical procedure for resistant occlusions. Clinical outcome and long-term results of the revascularization procedures are well documented. However, there is no clear information about acute medical complications of the procedures. High-output heart failure (HOHF) is associated with several diseases including chronic anemia, psoriasis, systemic arteriovenous fistula, sepsis, hypercapnia, multiple myeloma, and hyperthyroidism. Herein, we report a case of chronic kidney disease with CVO that developed acute HOHF immediately after the revascularization procedure (PTA and stenting).
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Turgutalp et al. (2011) conducted a case report in Chronic kidney disease with central venous occlusion (n=1). Revascularization procedure (PTA and stenting) was evaluated on Acute high-output heart failure. Revascularization via percutaneous angioplasty and stenting for central venous occlusion was immediately followed by the development of acute high-output heart failure in a patient with chronic kidney disease.
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