Central venous stenosis (CVS) is a known complication presenting in patients with end-stage renal disease who have been subjected to the insertion of a central venous line, particularly a hemodialysis catheter. CVS can be asymptomatic, but it can present as superior vena cava syndrome. It can also cause hemodialysis acess dysfunction/exhaustion (arteriovenous fistula, hemodialysis catheter, etc), precluding the patient from receiving dialyitic support.

Endovascular approach has become the preferred method to restablish vessel patency in such cases. Multiple techniques to achieve recanalization have been described, showing good results overall. The purpose of this exhibit is to share our results with the use of a modified endovascular technique to cross stenosed central veins.