Restricted accessResearch articleFirst published online 2010-9
Brachiocephalic Vein Stenosis in Association with Ipsilateral Hyperdynamic Brachio-Basilic Fistula Causing Ipsilateral Facial Swelling and Contralateral Papillodema and Visual Loss
A 69-year-old hypertensive woman with a hyperdynamic, left brachio-basilic dialysis fistula presented with a long history of throbbing in her head, swelling of the left side of the face and two months of right visual loss with gross swelling of the right optic disc.
Tight stenosis of left brachiocephalic vein was found to be causing retrograde flow into the left jugular vein which normalised after dilatation and stenting with resolution of the papillodema.
BommerJRitzE. The dialysed lady with one swollen cheek. Nephrol Dial Transplant. 1997; 12: 2188–2190.
2.
CuadraSAPadbergFTTurbinRE. P. Cerebral venous hypertension and blindness: A reversible complication. J Vasc Surg.2005; 42: 792–5.
3.
LalSMTwardowskiZJvan StoneJC. Benign intracranial hypertension: A complication of subclavian vein catheterisation and arteriovenous fistula. Am J Kid Dis.1986; 8: 262–264.
4.
MolinaJMartinez-VeaARiuS. Pseudotumor cerebri: An unusual complication of brachiocephalic vein thrombosis associated with hemodialysis catheters. Am J Kid Dis.1998; 31: E3–E3.
5.
AshizawaAKimuraGSanaiT. Idiopathic left innominate vein stenosis manifested following the creation of arteriovenous fistula in uremia. Am J Nephrol. 1994; 14: 142–144.
6.
MaskovaJKomarkovaJKivanekJ. Endovascular treatment of central vein stenoses and/ or occlusions in haemodialysis patients. Cardiovasc Intervent Radiol. 2003; 26: 27–30.
