{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:55:05Z","timestamp":1791251705618,"version":"4.1.0"},"reference-count":6,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Central venous stenosis and occlusion are recognized complications in hemodialysis patients and commonly present with ipsilateral arm, neck, or facial swelling. Unilateral breast edema is an uncommon manifestation that may mimic primary breast disorders and delay diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n A 58\u2010year\u2010old woman with end\u2010stage kidney disease receiving maintenance hemodialysis through a left\u2010arm arteriovenous fistula presented with progressive unilateral left breast swelling accompanied by ipsilateral arm edema and facial congestion. Clinical evaluation excluded infection, malignancy, and lymphedema. Duplex ultrasonography suggested a central venous abnormality, and venography demonstrated complete occlusion of the left brachiocephalic vein with extensive collateral venous circulation. Endovascular treatment was performed with balloon angioplasty followed by self\u2010expanding stent implantation because of significant elastic recoil. Post\u2010procedural venography confirmed restoration of venous flow. The patient experienced rapid improvement in breast, arm, and facial swelling, with near\u2010complete resolution at 1\u2010month follow\u2010up while maintaining functional dialysis access.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Central venous obstruction should be considered in the differential diagnosis of unilateral breast swelling in hemodialysis patients. Prompt recognition and endovascular intervention can provide effective symptom relief, prevent unnecessary diagnostic procedures, and preserve vascular access.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hdi.70096","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:34:39Z","timestamp":1780644879000},"page":"813-816","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unilateral Breast Edema as a Rare Manifestation of Brachiocephalic Vein Occlusion in a Hemodialysis Patient"],"prefix":"10.1111","volume":"30","author":[{"given":"\u00d6mer Burak","family":"\u00c7elik","sequence":"first","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9864-4715","authenticated-orcid":false,"given":"Abd\u00fclmelik","family":"Birg\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Murat","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Sar\u0131han","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine Hitit University \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8791-4475","authenticated-orcid":false,"given":"Macit","family":"Kal\u00e7\u0131k","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine Hitit University \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mucahit","family":"Yetim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine Hitit University \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammet Cihat","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Karavelio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine Hitit University \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2013.76"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MAT.0000151921.95165.1E"},{"issue":"1","key":"e_1_2_10_4_1","first-page":"1","article-title":"Central Venous Stenosis in the Hemodialysis Patient: Clinical Manifestations and Contemporary Management Strategies","volume":"11","author":"Miller G. A.","year":"2010","journal-title":"Journal of Vascular Access"},{"issue":"1","key":"e_1_2_10_5_1","first-page":"67","article-title":"Unilateral Breast Edema in a Hemodialysis Patient: An Unusual Presentation of Central Venous Obstruction","volume":"60","author":"Yalavarthy R.","year":"2003","journal-title":"Clinical Nephrology"},{"issue":"4","key":"e_1_2_10_6_1","first-page":"330","article-title":"Endovascular Treatment of Central Venous Stenosis in Hemodialysis Patients: Outcomes and Prognostic Factors","volume":"17","author":"Quaretti P.","year":"2016","journal-title":"Journal of Vascular Access"},{"issue":"10","key":"e_1_2_10_7_1","first-page":"1743","article-title":"Long\u2010Term Outcomes of Endovascular Therapy for Central Venous Disease in Hemodialysis Patients","volume":"34","author":"Abe T.","year":"2019","journal-title":"Nephrology, Dialysis, Transplantation"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70096","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70096","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:46:38Z","timestamp":1791251198000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/hdi.70096"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70096","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]},"assertion":[{"value":"2026-03-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}