{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:10:20Z","timestamp":1777936220002,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T00:00:00Z","timestamp":1691193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>A 66-year-old male patient receiving maintenance hemodialysis with arteriovenous fistula of the right upper limb was admitted to the hospital because of intermittent syncope, dizziness, and distension. Central venography indicated occlusion of the right brachiocephalic vein (RBV), and the contrast agent flowed from the right internal jugular vein into the intracranial vein, then into the contralateral internal jugular vein, and finally returned into the superior vena cava. Percutaneous transluminal angioplasty was performed to dilate the RBV. Postoperatively, the contrast agent flowed smoothly into the right atrium through the RBV and the superior vena cava. Craniocerebral magnetic resonance angiography and magnetic resonance venography indicated that the intracranial venous reflux disappeared. The patient did not experience syncope again; moreover, dizziness and distention improved, as well as right facial swelling and right eye congestion, and he was discharged 2\u2009days later. Two months later, the patient complained of dizziness. Venography under digital subtraction angiography showed severe stenosis at the RBV and percutaneous transluminal angioplasty was performed; moreover, stent placement was performed. The contrast agent flowed smoothly into the right atrium through the RBV and the superior vena cava again. Ultimately, the headaches and dizziness improved significantly postoperatively. Hence, if hemodialysis patients present with neurological symptoms, intracranial venous congestion should be monitored; nonetheless, most patients have a good prognosis when treated appropriately.<\/jats:p>","DOI":"10.1177\/11297298231191608","type":"journal-article","created":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T03:31:20Z","timestamp":1691206280000},"page":"1355-1359","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent syncope due to central venous occlusion in a patient undergoing hemodialysis"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8294-1338","authenticated-orcid":false,"given":"Huiling","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Union Jiangbei Hospital of Huazhong University of Science and Technology (Wuhan Caidian District People\u2019s Hospital), Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanliang","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Imaging, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aili","family":"Guo","sequence":"additional","affiliation":[{"name":"General Hospital of the Yangtze River Shipping, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6154-8879","authenticated-orcid":false,"given":"Xiaomei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,5]]},"reference":[{"key":"bibr1-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1111\/jon.12152"},{"key":"bibr2-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.09.116"},{"key":"bibr3-11297298231191608","doi-asserted-by":"publisher","DOI":"10.12659\/PJR.893358"},{"key":"bibr4-11297298231191608","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000689"},{"key":"bibr5-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000063"},{"key":"bibr6-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.04.016"},{"key":"bibr7-11297298231191608","first-page":"887","volume":"12","author":"Li N","year":"2019","journal-title":"Chin J Nephrol"},{"key":"bibr8-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2015.07.015"},{"key":"bibr9-11297298231191608","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.05.017"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231191608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298231191608","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231191608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:15Z","timestamp":1777692195000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298231191608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,5]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/11297298231191608"],"URL":"https:\/\/doi.org\/10.1177\/11297298231191608","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,5]]}}}