ArticleBMC cardiovascular disorders2016
The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients.
Article in BMC cardiovascular disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- UK Kidney Association Clinical Practice Guideline on vascular access for haemodialysis.BMC nephrology · 2025Guideline
- Endovascular Covered-Stent Repair of Iatrogenic Subclavian Vein Stenosis Following Thoracic Surgery: A Complex Dual-Access Technique Case Report.Acta Cardiologica Sinica · 2026Article
- Recanalization of complex central venous occlusion in a hemodialysis patient with a functioning arteriovenous fistula.Journal of vascular surgery cases and innovative techniques · 2026Article
- Systemic Venous Recanalization: Iliocaval and Superior Vena Cava Reconstruction in Children.Seminars in interventional radiology · 2025Review
- Evaluation of thrombospondin 1 as a novel biomarker in pediatric-onset systemic lupus erythematosus.BMC pediatrics · 2025Article
- The safety and efficacy of through-and-through wire technique for ureteral Double-J stent placement.Pakistan journal of medical sciences · 2024Article
- Assessment of dysfunctional tunneled hemodialysis catheters and outcome of endovascular salvage techniques: a simple solution to a complex problem.Frontiers in cardiovascular medicine · 2023Article
- One-year outcomes and predictive factors for primary patency after stent placement for treatment of central venous occlusive disease in hemodialysis patients.Therapeutic advances in chronic disease · 2022Article
- Efficacy and safety of recanalization with transseptal needle for chronic total occlusion of the brachiocephalic vein in hemodialysis patients.Annals of translational medicine · 2020Article
- Wire countertraction for sheath placement through stenotic and tortuous veins: The "body flossing" technique.Heart rhythm O2 · 2020Article
- Long-segment central venous occlusion in a hemodialysis patient treated by segmented sharp recanalization strategy: A case report.Medicine · 2019Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo retrospectively compare the operation time, success rate and efficacy between unidirectional and bidirectional procedures in the treatment of central venous occlusion diseases (CVOD), assess the advantages of the bidirectional approach, and determine the characteristics of CVOD appropriate for the bidirectional approach treatment.
methodsA total of 49 patients who underwent endovascular interventions with all relevant data between January 2011 and December 2015 at the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China, were included in this retrospective study, and were categorized into two groups: the 19 patients in group 1 had undergone percutaneous transluminal venoplasty (PTV) via a conventional technique (unidirectional procedure from the vein distal or proximal to the obstructive lesion), and the 30 in group 2 had undergone flossing wire technique (bidirectional procedure from femoral vein and the vein distal to obstructive lesion and using a flossing wire technique). The technical success rate, the fluoroscopy time in the procedure, perioperative complications, and patency were evaluated retrospectively.
resultsCompared with group 1, group 2 had a higher initial technical success rate (83.33% vs. 47.36%, p = 0.012) but a shorter fluoroscopy time (82.6 ± 26.1 vs. 116.1 ± 42.1, p = 0.048). Receiver operating characteristic (ROC) analysis indicated that a lesion with a length of 6.5 cm was the best predictor of technique success (p = 0.02) in group 1, but no cut-off value was identified for group 2. There were no significant differences in perioperative complications between these two groups. The complication rates were 31.58% (6/19) in group 1 and 6.67% (2/30) in group 2, (p = 0.043), respectively. No significant difference was observed between these two groups with respect to the stent patency rate.
conclusionCompared with the conventional technique, the flossing wire technique has a higher success rate, shorter fluoroscopy time, fewer complications and similar patency rate. It is a feasible treatment for CVOD, especially for long obstructive lesions.
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