Six years after double lumen catheter insertion, a 64-year-old man complained of progressive swelling of the left upper arm and left cervical region. The cause was considered to be central venous stenosis and left arteriovenous fistula for dialysis blood access. Our patient was treated by PTA. One week after this procedure, all symptoms disappeared without occlusion of the arteriovenous shunt. We consider PTA the best therapy for a short lesion of central venous stenosis.