Key result
Permanent pacemakers are linked to subclavian stenosis driving massive arm edema after ipsilateral AV access.
Why the study?
Subclavian and brachiocephalic vein stenosis secondary to permanent cardiac pacemakers can cause serious complications in hemodialysis patients after arteriovenous fistula/graft creation.
Design
Case report
Authors
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May caution against ipsilateral AV access in pacemaker patients with central stenosis; leaves open optimal access strategies pending larger studies.
Permanent cardiac pacemakers can cause subclavian and brachiocephalic vein stenosis, leading to severe edema if an ipsilateral arteriovenous fistula or graft is created for hemodialysis.
Cavatorta et al. (1997) studied this question. Permanent cardiac pacemakers in hemodialysis patients can cause subclavian vein stenosis, leading to massive congestive arm edema after ipsilateral arteriovenous fistula or graft creation.
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