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Author Topic: Stent or Angioplasty for Central Line due to Stenosis  (Read 2149 times)
Rain
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« on: October 23, 2013, 10:56:32 AM »

i have had a dialysis catheter for almost 1 year due to a clot.  I noticed symptoms of extra vein in my chest and arm and it was mentioned that it can be stenosis (narrowing of the central vein) that is providing blood to my arm, which is now preventing me on having another access.  I don't see the vascular surgeon for a consult for another 3 weeks for a plan of action.  I was wondering had a dialysis catheter that was preventing you getting another access in your arm, were you able to get a stent and then go on to get an access in the arm?

Right now I am scared to death, that I am out of access options.
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1988  Diagnosed with reflux and kidney damage
2006-  Diagnosed with Renal Failure and start dialysis in centre with catheter
2007- Fistula created and in centre hemo with fistula
2012- Fistula clotted and central line inserted
May 2014- Received Kidney from deceased donor
obsidianom
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« Reply #1 on: October 23, 2013, 01:59:01 PM »

You are assuming that you cant have a fistula or graft in your arms . You may still be able to in one or the other arm. The catheter doesnt neccessarily prevent this. In fact many patients get fistulas or grafts while a catheter is in place. If the arms fail , you still have options in the legs and even the chest possibly. A graft can be used in the chest. So you are not out of options. Get to the vascular surgeon and get checked out thoroughly . You may be pleasantly surprised.
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My wife is the most important person in my life. Dialysis is an honor to do for her.
NxStage since June 2012 .
When not doing dialysis I am a physician ,for over 25 years now(not a nephrologist)

Any posting here should be used for informational purposes only . Talk to your own doctor about treatment decisions.
jeannea
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« Reply #2 on: October 23, 2013, 06:54:40 PM »

I'm sure you're scared. However, I don't think you're out of access problems yet. Take a deep breath and try to get through the wait for your vascular appt. The doc will help you.
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Rain
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« Reply #3 on: October 23, 2013, 07:12:07 PM »

Thanks everyone.  I had a fistula in my left arm that failed after 4.5 years.  It was an upper arm fistula that took out all the surrounding blood vessels when it failed.   But I did receive good news today, after getting 10 people tested in the last 10 months, having each one come back as not a match, a friend of my fathers turned out to be perfect match for me.   Will post in another thread since I have a question on living donation.
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1988  Diagnosed with reflux and kidney damage
2006-  Diagnosed with Renal Failure and start dialysis in centre with catheter
2007- Fistula created and in centre hemo with fistula
2012- Fistula clotted and central line inserted
May 2014- Received Kidney from deceased donor
jeannea
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« Reply #4 on: October 24, 2013, 10:44:59 AM »

Sorry. I meant access areas not access problems.
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