scholarly journals Transhepatic venous access for hemodialysis-single centre expirience

2021 ◽  
pp. 2-2
Author(s):  
Momir Sarac ◽  
Goran Sjenicic ◽  
Dragan Sekulic ◽  
Sasa Mickovic ◽  
Sanja Sarac ◽  
...  
Keyword(s):  
Inferior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Venous Access ◽  
Single Centre ◽  
Central Venous ◽  
Acceptable Alternative ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Permeability Rate

Introduction. A percutaneous transhepatic approach has been used to place tunneled catheters in the inferior vena cava for hemodialysis. This route through the suprahepatic vein could be used to place a tunnelled catheter for permanent haemodialysis without complications and with an excellent permeability rate. Single centre expirience. From 2011 to 2020 in a Military Medical Academy we treated 4 patients with transhepatic central venous catheter for hemodialysis. All of them had exhausted approaches during period of hemodialysis. Arterio-venous fistulas had been thrombosed on the arms, thrombosis subclavian vein billateraly or superior cava veinand complications by femoral catheters was present. Peritoneal dialysis was not possible. Discusion. Limited number of papers descripted outcome of placement transhepatic catheters for hemodialysis. In our expirience one patient needed scroll catheter due hemodialysis had not well outcome, and one patient needed thrombolysis catheter.Two of them are on hemodialysis without complications for 300 and 1650 days. Conclusion. The transhepatic venous access under ultrasound and radioscopic guidance is a simple and safe method. It is an acceptable alternative for permanent haemodialysis catheters when other venous accesses are exhausted, and when it is performed by a well-trained team.

Inferior vena cava implant of permanent central venous access devices

1997 ◽  
Vol 9 (2) ◽  
pp. 157-158
Author(s):  
F. D'angelo ◽  
G. Ramacciato ◽  
P. Aurello ◽  
S. Broglia ◽  
S. Cataldi ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Central Venous ◽  
Venous Access Devices

Central Venous Access in Pediatric Patients

2001 ◽  
Vol 2 (3) ◽  
pp. 125-128 ◽  
Author(s):  
F. Fusaro ◽  
M.G. Scarpa ◽  
R. Lo Piccolo ◽  
G.F. Zanon
Keyword(s):  
Pediatric Patients ◽  
Inferior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Chronic Administration ◽  
Venous Access ◽  
Central Venous Line ◽  
Venous Cannulation ◽  
Central Venous ◽  
Central Venous Thrombosis

Occlusion of traditional sites for central venous cannulation is a challenging problem in patients that require a permanent central venous line for chronic administration of nutrients or drugs. In rare cases, extensive central venous thrombosis of the superior and inferior vena cava may preclude catheterization, and uncommon routes should be used. We describe our approach for placement of chronic central venous lines in two pediatric patients with short bowel syndrome and extensive caval occlusion.

scholarly journals Superior Vena Cava Duplication: The Red Herring of Central Line Placement

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Karin Gunther ◽  
Carmen Lam ◽  
David Siegel
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Catheter ◽  
Venous Access ◽  
The United States ◽  
Central Line ◽  
Central Venous ◽  
Central Venous Access Lines

5 million central venous access lines are placed every year in the United States, and it is a common surgical bedside procedure. We present a case of a central venous catheter placement with port for chemotherapy use, during which a duplication of a superior vena cava was discovered on CTA chest after fluoroscopy could not confirm placement of the guidewire. Due to its potential clinical implications, superior vena cava duplication must be recognized when it occurs.

Inferior Vena Cava: Translumbar Catheterization for Central Venous Access

Radiology ◽  
1989 ◽  
Vol 172 (3) ◽  
pp. 1013-1014 ◽  
Author(s):  
Donald F. Denny ◽  
Lee H. Greenwood ◽  
Steven S. Morse ◽  
Graham K. Lee ◽  
Julio Baquero
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Central Venous

scholarly journals “Pigtail through snare” technique: an easy and fast way to retrieve a catheter fragment with inaccessible ends

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Kensaku Mori ◽  
Chika Somagawa ◽  
Shun Kagaya ◽  
Masafumi Sakai ◽  
Satoshi Homma ◽  
...  
Keyword(s):  
Inferior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Right Atrial ◽  
Pigtail Catheter ◽  
Central Venous ◽  
Step Method ◽  
Case Presentation ◽  
Right Atrial Appendage ◽  
The Right

Abstract Background A catheter fragment with inaccessible ends can be retrieved using the well-known two-step method: making a free end with a pigtail catheter and seizing it with a snare catheter. Here we propose an easier and faster modification, named the “pigtail through snare” technique. Case presentation A 61-year-old female patient underwent removal of a central venous catheter fragment migrating to the right atrium. Both ends located in the right atrial appendage and left hepatic vein were inaccessible. Initially, a snare loop was opened in the inferior vena cava and a pigtail catheter was advanced through the snare loop to hook the catheter fragment. The free end was created by pulling the pigtail catheter, dragged automatically into the snare loop, grasped, and retrieved immediately. Conclusions By passing the pigtail catheter through the snare loop in advance, the snaring maneuver becomes easy and fast in retrieving the catheter fragment with inaccessible ends.

Sign in / Sign up

Export Citation Format

Share Document