Transjugular Tunnelled Dialysis Catheter Tip Placement into the Inferior Vena Cava Upper Segment after Length Overestimation

2014 ◽  
Vol 16 (1) ◽  
pp. 72-75 ◽  
Author(s):  
Claude J. Renaud ◽  
Ying Ying Seow ◽  
Hui Siong Teh
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Dialysis Catheter ◽  
Catheter Tip

scholarly journals Evaluation of Umbilical Vein Catheter Position in Neonates by Thoraco-Abdominal Radiography Versus Echocardiography

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Negar Yazdani ◽  
Gholamreza Badfar ◽  
Shahnaz Pourarian
Keyword(s):  
Inferior Vena Cava ◽  
Neonatal Intensive Care ◽  
Inferior Vena ◽  
Umbilical Vein ◽  
Vena Cava ◽  
Neonatal Intensive Care Units ◽  
Abdominal Radiography ◽  
Catheter Tip ◽  
Tip Position ◽  
Umbilical Vein Catheter

Background: Umbilical vein catheterization is usually conducted for preterm neonates in neonatal intensive care units to administer medication, fluid and nutrition, and blood transfusion. However, catheter tip malposition can cause complications. Objectives: There are different methods to detect the accuracy of catheter’s position; hence, this study aimed to compare the diagnostic accuracy of radiography vs echocardiography to determine the accurate tip position of umbilical vein catheter. Methods: This cross-sectional study was performed on all 104 neonates admitted to the neonatal intensive care units of hospitals affiliated to Shiraz University of Medical Sciences from March 2017 to January 2018. At first, the length of the catheter was estimated based on Dunn method. After catheterization, thoraco-abdominal radiography and echocardiography were performed by a pediatric radiologist who was blinded to the study objectives, and the data were recorded in two forms. Finally, data were analyzed by McNemar’s test, using SPSS 17 software. Results: The sensitivity, specificity, positive predictive value and negative predictive value by radiography and echocardiography for the catheter tip position in the inferior vena cava-right atrium junction was calculated 100%. Moreover, catheters were located in the ductus venous, inferior vena cava, inferior vena cava-right atrium junction, right and left atrium in echocardiography were in the radiograph equal to thoracic vertebrae of T9-T11, T9, T6-T10, T5-T8, and T4-T6, respectively. Conclusions: Our study suggests that even though echocardiography is as reliable as radiography for early detection of the catheter tip position, it can also avoid complications of catheter malposition quicker than radiography.

scholarly journals P1345CATHETER FAILURE AND MORTALITY IN HEMODIALYSIS PATIENTS WITH THE TUNNELLED-CUFFED CATHERTER TIP POSITIONED IN THE INFERIOR VENA CAVA

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Lu Cheng ◽  
Shen-Ju Gou ◽  
Jing Yi ◽  
Qian Ren ◽  
Tian-Lei Cui ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Survival Time ◽  
Vascular Access ◽  
Inferior Vena ◽  
Survival Rates ◽  
Vena Cava ◽  
Mean Survival Time ◽  
Kaplan Meier ◽  
Catheter Tip ◽  
The Mean

Abstract Background and Aims For patients with multiple central vein obstruction (CVO) and exhausted all options for arteriovenous accesses, how to establish a new effective vascular access is an urgent problem, and the key point to solve this problem is where to locate the tip of catheter. This study focused on these patients and investigated the safety and efficient of tunnelled cuffed catheter (TCC) with the tip placed in the inferior vena cava (IVC). Method Thirty-three maintenance haemodialysis patients with vascular access malfunction presented to West China Hospital of Sichuan University from March 2013 to December 2016 were included in this retrospective study and followed up until their catheter failure or death or until June 30, 2019. The short-term efficacy and safety of the procedure placing TCC tip in IVC were observed. The survival rates of TCC with catheter tip in IVC and patients were analysed. Results All thirty-three patients achieved adequate blood flow to complete the first session of haemodialysis after catheterization procedure and no obvious complications, such haemorrhage, arrhythmia and pulmonary embolism. The mean survival time of the TCC with catheter tip in IVC was 58.5 (95% CI 48.8–63.4) months by Kaplan–Meier analysis. The survival rates of TCC with catheter tip in IVC were 87, 83, 75, 71% in 1, 2, 3, 4 years, respectively. The highest incidence of catheter dysfunction was at 12 months after catheterization. The mean survival time of patients was 56.2 (95% CI 46.9–65.4) months by Kaplan–Meier analysis. The patient survival rates were 88, 82, 70, 67 % in 1, 2, 3, 4 years, respectively. The highest mortality was at 12 months after catheterization. Conclusion Our study suggested that placement of the tunnelled-cuffed catheter tip in the IVC was safety and efficacy in the end-stage haemodialysis patients who has exhausted vascular resources with CVO. The TCC with tip in the IVC was feasible to be a long-term vascular access for these patients.

Safety and efficacy of placing internal jugular dialysis catheter tip in the inferior vena cava

2017 ◽  
Vol 18 (1) ◽  
pp. 79-81
Author(s):  
Michael A.M. Mayer ◽  
Vinaya Soundararajan ◽  
Ramesh Soundararajan
Keyword(s):  
Inferior Vena Cava ◽  
Right Atrium ◽  
Medical Records ◽  
Inferior Vena ◽  
Vena Cava ◽  
Chronic Hemodialysis ◽  
Vascular Intervention ◽  
Hemodialysis Catheter ◽  
Catheter Tip ◽  
The Right

Purpose To assess the efficacy and safety of placing the tip of the internal jugular (IJ) hemodialysis catheter in the inferior vena cava (IVC) in situations where it does not work well when placed in the right atrium. Methods The medical records of chronic hemodialysis patients at an outpatient vascular intervention facility were retrospectively reviewed. Out of the 831 patients who had dialysis catheters exchanged over a 4-year period, 13 patients were identified who underwent catheter exchanges where the tip of the catheter was placed in the IVC via the IJ approach. These were all patients where the catheters had poor flows when placed in the right atrium earlier. Results Adequate flow (>350 mL/min) was achieved in all 13 cases with the catheter placed in the IVC with no significant complications. Conclusions This study suggests that exchanging the catheter and placing the tip in the IVC is effective and safe in certain situations especially when the tip placement in the conventional position (i.e. the right atrium) does not work well.

Budd-Chiari syndrome: An unusual complication of an internal jugular tunneled dialysis catheter

2021 ◽  
pp. 112972982110501
Author(s):  
Gabriel Stefan ◽  
Simona Stancu ◽  
Adrian Zugravu ◽  
Laura Predescu ◽  
Simona Cinca ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Jugular Vein ◽  
Vena Cava ◽  
Dialysis Catheter ◽  
Budd Chiari Syndrome ◽  
Chiari Syndrome ◽  
Catheter Malposition ◽  
The Right ◽  
Catheter Replacement

Budd-Chiari syndrome due to the tip of an internal jugular tunneled dialysis catheter malposition in inferior vena cava or hepatic vein is a rare complication. We aimed to present our experience and compare it with the previous reports to highlight the clinical features and the optimal management. A 57-year-old female with history of ANCAp vasculitis, treated by hemodialysis in the last 2 years on a right internal jugular vein tunneled catheter was admitted for pain in the right upper quadrant. A subacute Budd-Chiari syndrome due to catheter malposition was diagnosed. The catheter was removed, and a new tunneled hemodialysis line was inserted in the right internal jugular vein with the tip at the junction of right atrium with superior vena cava. Anticoagulation with apixaban 2.5 mg twice daily was started after catheter replacement and the patient was discharged. At 1 month follow-up the patient had no symptoms, and the ultrasound revealed the absence of the thrombus in the inferior vena cava. Imagining monitoring for malposition after insertion or in a clinical context suggestive for Budd-Chiari syndrome is essential for early diagnosis and treatment. In our case, anticoagulation with apixaban and prompt catheter replacement resulted in Budd-Chiari syndrome resolution.

Factors Influencing Permanent Catheter Performance

2001 ◽  
Vol 2 (3) ◽  
pp. 106-109 ◽  
Author(s):  
S. Mandolfo ◽  
F. Galli ◽  
S. Costa ◽  
P. Ravani ◽  
P. Gaggia ◽  
...  
Keyword(s):  
Blood Flow ◽  
Inferior Vena Cava ◽  
Blood Viscosity ◽  
Inferior Vena ◽  
Venous Pressure ◽  
Vena Cava ◽  
Blood Flows ◽  
First Case ◽  
Group I ◽  
Catheter Tip

Permanent dual lumen catheters (PDLC) provide an alternative vascular access in patients considered unsuitable for arteriovenous fistula, graft or peritoneal dialysis. However, the use of PDLC is often complicated by inadequate blood flow. The aim of this study was to identify catheter dysfunctions. We studied prospectively 57 chronic hemodialyzed patients, 73±11 years of age, with PDLC for 18±14 (1–48) months. Catheters were tunneled in silicone (MedComp Tesio n= 40) or in polyurethane (Permcath Quinton n = 11, GamCath Gambro n = 6) in left or right internal jugular (n = 49), in left or right subclavian (n = 3) and in right femoral vein (n = 5). We studied the blood viscosity indices (hematocrit, total protein, cholesterol and triglycerides), catheter intra-dialytic parameters (pre-pump and venous pressure), localization of the catheter tip (superior vena cava = SVC, right atrium = RA, inferior vena cava = IVC), blood pressure before and after hemodialysis during the 3 last dialyses, use of anticoagulant (ACT) or antiaggregant therapy (AAT) and previous infectious episodes. The mean blood flow was 269±37 ml/min (median 280 ml/min). The patients were divided according to the median value into groups I (Qb < 280, n = 28) and group II (Qb > 280, n =29). Results: Blood viscosity, patients’ mean arterial pressure and venous catheter line pressure did not differ between the two groups. Pre-pump pressure, at the start and at the end of treatment, was higher in group I. ACT, AAT and previous infectious episodes could not explain the low-performance. Blood flows of catheters localized in RA, SVC, and in IVC were respectively 287±20, 268±39, 244±27 ml/min. In the first case the Qb was significantly higher than IVC (p = 0.03) and SVC (p = 0.04). In conclusion, the most important factor influencing blood flow rates seems to be the position of the catheter tip in the venous system. The best blood flows were found in catheters with the tip localized in the right cardiac cavities, while PLDC placed in inferior vena cava showed lower blood flow.

V1219: Laparoscopic Repair of an Inferior Vena Cava Injury during a Right Partial Nephrectomy

2006 ◽  
Vol 175 (4S) ◽  
pp. 392-393
Author(s):  
Fernando P. Secin ◽  
Zohar A. Dotari ◽  
Bobby Shayegan ◽  
Semra Olgac ◽  
Bertrand Guillonneau ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Partial Nephrectomy ◽  
Laparoscopic Repair ◽  
Inferior Vena ◽  
Vena Cava
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