Azygos Vein Dialysis Catheter Placement Using the Translumbar Approach in a Patient with Inferior Vena Cava Occlusion

Jaber, Mohammad; Thomson, Matthew J.; Smith, Douglas C.

doi:10.1007/s00270-007-9271-7

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Translumbar/transhepatic catheters Published reports from 1995 to 2018 are summarised in Table 1. [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The age range of patients in these reports is from 22 to 83 with a mean age cited between 42 and 61.9 years.…”

Section: Resultsmentioning

confidence: 99%

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

et al. 2019

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Background: Running out of vascular access for dialysis is thankfully rare, but despite this, most units will have a number of patients with few options and in a precarious state. The increasing longevity of dialysis patients portends more patients will reach minimal access options. End stage vascular access is poorly defined but classification may enable assessment and comparison of treatment options. Three options for patients with end stage access are a central venous catheter through a translumbar or transhepatic route, arterial-arterial prosthetic loop or a right atrial graft. Aims: The aims of this study are to provide a structured review of evidence for these procedures to allow application and guide practice for patients with end stage vascular access. Methods: A standardised search of published literature was performed of relevant studies. In addition, the references cited in those papers were assessed for any further available articles. All study types were included and reviewed by two authors independently. Primary outcomes were patient survival and secondary patency rate at 3 and 12 months. Secondary outcomes were long-term patency rates, mean time to cannulation and complications such as access dysfunction, thrombosis and infection. Summary: Based on the available evidence, it would appear that arterial-arterial prosthetic loop is a definitive option for maintaining dialysis access in patients with no more arteriovenous access options. Translumbar and transhepatic dialysis catheters may offer short- and medium-term options and right atrial grafts may also be suitable as an option where arterial-arterial prosthetic loop is unsuitable.

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Section: Resultsmentioning

confidence: 99%

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

et al. 2019

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“…In this approach, percutaneous access was first obtained with a Chiba needle under ultrasound guidance into a segmental interpolar vein, and dilated into a tract for a catheter. In a patient with an IVC occlusion, a successful catheter placement into the azygous vein via an ascending lumbar vein has been reported ( 53 ). This catheter served the patient’s dialysis needs for seven months prior to a morbid catheter-related infection.…”

Section: Non-conventional Tdc Placementmentioning

confidence: 99%

Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Sharma¹,

Wei²,

Thompson³

et al. 2023

Cardiovasc Diagn Ther

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Hemodialysis remains the most frequently chosen kidney replacement modality across the world. A well-functioning dialysis vascular access is critical to providing successful dialysis therapy. Despite its drawbacks, central venous catheter is commonly used as a vascular access to initiate hemodialysis therapy in acute and chronic settings. The growing recognition of providing patient centric care and per recommendations from the recently published Kidney Disease Outcome Quality Initiative (KDOQI) Vascular Access Guidelines, selecting the appropriate patient population for a central venous catheter placement involves implementing the End Stage Kidney Disease (ESKD) Life-Plan strategy. The current review examines the circumstances and challenges that increasingly lead to the hemodialysis catheter being the default and the only available choice for patients. The current review outlines the clinical scenarios for selecting an appropriate patient for hemodialysis catheter use for short-term or long-term needs. The review further discusses clinical pointers to assist with the decision-making process on estimation on prospective catheter length selection, particularly in the intensive care unit setting without the aid of conventional fluoroscopic guidance. A hierarchy of conventional and non-conventional access sites is proposed based on KDOQI guidance and multi-disciplinary author experience. Non-conventional sites are reviewed, including complications and technical guidance, for trans-lumbar IVC, trans-hepatic, trans-renal, and other exotic sites.

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“…We have previously reported a translumbar access of the right ascending lumbar vein to place a dialysis catheter into an enlarged azygos vein, which was deemed a viable option in one patient. 1 In addition, a number of reports have documented unconventional percutaneous approaches including translumbar inferior vena cava cannulation, transhepatic, transrenal, transfemoral artery, and intraaortic. We chose to forego the transhepatic approach as it has been shown to be associated with significant complications such as intraperitoneal bleeding, 2 hemorrhagic pleural effusion, 3 and Budd–Chiari syndrome.…”

mentioning

confidence: 99%

Trans-popliteal access for treatment of life-threatening hyperkalemia when all other conventional access fails

et al. 2018

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Azygos Vein Dialysis Catheter Placement Using the Translumbar Approach in a Patient with Inferior Vena Cava Occlusion

Cited by 4 publications

References 9 publications

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Trans-popliteal access for treatment of life-threatening hyperkalemia when all other conventional access fails

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