Atypical placement of hemodialysis catheters in patients with complete and irreversible obstruction of central venous vessels

Messina, Martina; Morale, Walter; Viglianesi, A.; Malfa, Pierantonio; L'Anfusa, Giuseppe; Mandalà, Maria L.; Ettorre, G; Landro, Domenico Di; Patanè, Domenico

doi:10.5301/jva.2010.5970

Cited by 7 publications

(2 citation statements)

References 21 publications

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“…6,7,8 and sometimes due to stenosis patient has to undergo special and costly imaging to undergo catherization at atypical sites. 9 Few studies conducted on various type of populations has been conducted and data on the prevalence of central venous stenosis following catheterization in Pakistan. Recent studies have thrown the debate of preferred site of insertion into a controversy.…”

Section: Introductionmentioning

confidence: 99%

Heamodialysis Patients; Central Vein Stenosis Following Temporary Double Lumen Catherization in Internal Jugular and Subclavian Veins

Afzal¹,

Ulhaq²,

Ahmed³

et al. 2017

TPMJ

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ABSTRACT… Background: Internal jugular vein is considered the preferred site of insertion. Prevalence of central vein stenosis following temporary double lumen catheterization at different sites seems to be different in Asian countries. Objectives: To evaluate the number of cases having catheterization and stenosis after being subjected to central vein catheterization (CVC) among Pakistani population. Study Design: Cross sectional study. Period: 6 months period. Setting: Admitted in the Department of Nephrology or already undergoing maintenance hemodialysis fulfilling the inclusion criteria were included in the study. Material and Method: The sample which was considered suitable for this study was 150 cases after checking the inclusion criteria carefully. The patients were advised to undergo color Doppler ultrasonography of IJV and SCV of both sides. Demographics and outcome variables were noted and recorded for the analysis purposes. Data was analyzed used SPSS 20.inc Results: The frequency of catheterization of catherization at IJV was found to be 128(85.3%) and frequency of catheterization at SCV was 22(14.7%). The frequency of CVS at IJV was found to be 43(29.68%) and the frequency of CVS at SCV was 81(54.54%). The frequency of stenosis at SCV was found to be significantly higher with a p value of 0.029 (<0.05). Conclusion: Internal jugular vein is the most frequent and preferred site of temporary double lumen catheterization for haemodialysis as it is associated with significantly lower rate of stenosis as compared to subclavian vein.

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Section: Introductionmentioning

confidence: 99%

Heamodialysis Patients; Central Vein Stenosis Following Temporary Double Lumen Catherization in Internal Jugular and Subclavian Veins

Afzal¹,

Ulhaq²,

Ahmed³

et al. 2017

TPMJ

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“…8 In a recently published article by Messina et al, left-sided approach to the azygos vein has been described. 9 In cases of thoracic venous anomaly, routine X-ray shows an abnormal catheter position. If the left brachiocephalic vein is narrowed or occluded the catheter may be malposed in the superior intercostal or the accessory hemiazygos vein.…”

Section: Discussionmentioning

confidence: 99%

Tunneled‐cuffed catheter implanted into the accessory hemiazygos vein because of occlusion of the left innominate vein

Letachowicz

Kołodziej

Międzybrodzki

et al. 2011

Hemodialysis International

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Hemodialyzed patients are at risk of multiple catheterizations. Nephrologists performing such procedures need to be familiar with congenital and acquired vascular abnormalities. We describe a successful insertion and use of a cuffed-tunneled catheter in a patient with unusual anatomy of the central venous system. Computed tomography angiography revealed thrombosis of the right subclavian vein and bilateral occlusion of innominate veins. The left internal jugular and subclavian veins joined to form a large vessel that drained through the accessory hemiazygos and azygos veins into the superior vena cava. The catheter was implanted through the left internal jugular vein into the accessory hemiazygos vein. The presented case demonstrates that the catheter can be implanted into distended collateral, especially when no other location is possible.

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Dialysis access in a patient with multiple central venous stenoses

et al. 2013

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We report a female patient, with obstructed right femoral and right brachiocephalic vein, narrowed left femoral vein, left brachiocephalic vein and superior vena cava, due to long-term catheterization for dialysis. Angioplasty and synthesized graft transplant were successfully performed. The new access withstood early cannulation only 3 days after the procedure. Angioplasty can ameliorate existing stenosis and enable permanent access creation, while an artificial graft may provide faster maturation than documented.

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Atypical placement of hemodialysis catheters in patients with complete and irreversible obstruction of central venous vessels

Abstract: The placement of CVC for HD in atypical sites can be considered a viable option in extreme cases; adequate imaging support is paramount in order to facilitate the procedure and to avoid complications.

Cited by 7 publications

References 21 publications

Heamodialysis Patients; Central Vein Stenosis Following Temporary Double Lumen Catherization in Internal Jugular and Subclavian Veins

Heamodialysis Patients; Central Vein Stenosis Following Temporary Double Lumen Catherization in Internal Jugular and Subclavian Veins

Tunneled‐cuffed catheter implanted into the accessory hemiazygos vein because of occlusion of the left innominate vein

Dialysis access in a patient with multiple central venous stenoses

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