Dialysis Catheter Placement in Patients With Exhausted Access

Rahman, Syed I.; Kuban, Joshua D.

doi:10.1053/j.tvir.2016.11.008

Cited by 33 publications

(30 citation statements)

References 23 publications

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“…Preoperative investigations in all centers included echocardiography and Doppler ultrasound of the neck vessels, due to the increased risks of hypertrophic heart failure, and difficulties in central venous access as a result of previous central catheter insertions . Anesthetic agents were similar between centers and were similar to agents used in other countries .…”

Section: Discussionmentioning

confidence: 99%

“…Table 4 insertions. 15,16 Anesthetic agents were similar between centers and were similar to agents used in other countries. 7,17,18 Despite the fact that evidence clearly indicates the benefit (hemodynamic stability and post-operative pain management) and the safety of regional analgesia, 17 it was employed only by a minority of centers, probably due to concerns for hemodynamic compromise and impaired graft perfusion 19 and/or concerns for bleeding in the setting of post-operative anticoagulation.…”

Section: Re Sultsmentioning

confidence: 91%

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A survey of the anesthetic management of pediatric kidney transplantation in France

Marsac

Michelet

Sola

et al. 2019

Pediatric Transplantation

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Background Renal transplantation is the best available therapeutic option for end‐stage renal failure in both children and adults. However, little is known about anesthetic practice during pediatric renal transplantation. Material and Methods The study consisted of a national survey about anesthetic practice during pediatric renal transplantation in France. French tertiary pediatric centers performing renal transplants were targeted, and one physician from each team was asked to complete the survey. The survey included patient data, preoperative assessment and optimization data, and intraoperative anesthesia data (drugs, ventilation, and hemodynamic interventions). Results Twenty centers performing kidney transplantation were identified and contacted to complete the survey, and eight responded. Surveyed centers performed 96 of the 122 pediatric kidney transplantations performed in France in 2017 (79%). Centers consistently performed echocardiography and ultrasound examinations of the great veins preoperatively and consistently employed esophageal Doppler cardiac output estimation and vasopressors intraoperatively. All other practices were found to be heterogeneous. Central venous pressure was monitored in six centers, and dopamine was administered perioperatively in two centers. Conclusions The current study provides a snapshot of the perioperative management of pediatric kidney transplantation in France. Results emphasize the need for both standardization of practice and awareness of recent evidence against the use of CVP monitoring and dopamine infusions.

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Section: Discussionmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 91%

A survey of the anesthetic management of pediatric kidney transplantation in France

Marsac

Michelet

Sola

et al. 2019

Pediatric Transplantation

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“…Yet, many patients may sometimes require a catheter-based access for dialysis for various reasons, including thrombosis of those fistulas or grafts, surgical ineligibility, maturation failure, or a need for an urgent dialysis. Center venous dialysis catheters may be short-term non tunneled catheters used for short-term dialysis and should be removed within 7 days or long-term tunneled catheters [2].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous transhepatic hemodialysis catheters in chronic hemodialysis patients: technique, functional outcome, and complications from a large population study

Khallaf

Tawab

Korashi

et al. 2019

Egypt J Radiol Nucl Med

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Background: Chronic renal failure is one of the main health problems in Egypt. Arterio-venous fistulas, grafts, as well as conventional sites for placement of the dialysis catheters are liable to thrombosis; stenosis, and occlusions, so alternative routes are considered as life-saving ways in such cases. Transhepatic permcath is one of the new and up to date methods for inferior vena cava and right atrium catheterization. Few studies with rather limited nomber are available to evaluate transhepatic permcath. The aim of our study is to emphasize the technique, complications, and efficacy of application of percutaneous transhepatic hemodialysis catheters. Results: Two hundred-ninety six chronic renal dialysis patients were included in this prospective interventional study. They include 180 males and 116 females with mean age of 53.2 years ± 11.7 years ranging from 38 to 65 years. Percutaneous transhepatic hemodialysis catheters were inserted for all patients. Technical success of the procedure was achieved in all cases (100%). Post-procedure patency and function of the catheters were followed up with mean follow-up period 750 days. Mean of primary and secondary devices service intervals were 290 and 270 days respectively. Mean time catheter in situ was 280 days. Mean cumulative duration of catheter in situ was 557 days. Catheters migration, sepsis, thrombosis, and exit site infection rates were 0.14, 0.15, 0.18, and 0.32 per 100 catheter-days respectively. Three patients had hepatic subcapsular hematoma (1%). No mortality or other complications were related to the procedure. Conclusions: Combined ultrasound and fluoroscopic-guided transhepatic permanent dialysis catheter application for patients with exhausted classic venous access routes and non-functioning/thrombosed AV fistulas or grafts showed excellent technical success with good short and mid-term patency rates and low complications rates. Thus, this study encourages us to expand this promising technique for application of dialysis catheter in indicated cases.

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“…A percutaneous technique for unconventional access has been introduced in the literature [3]. Needle recanalization is a technique of using a needle to go through a chronically thrombosed venous segment or to artificially create a new tract to the central vein.…”

Section: Discussionmentioning

confidence: 99%

Cut-down method for perm catheter insertion in patients with completely occluded internal jugular vein

Cho

Yun

2019

Ann Surg Treat Res

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The primary site for a hemodialysis catheter insertion is the right internal jugular vein (IJV) followed by the left IJV and subclavian vein. In cases when veins of the upper extremities are exhausted, femoral veins are an alternative insertion location. Femoral catheter insertions should only be used for short periods because of the increased risk of infection. There is a percutaneous technique to recanalize occluded central veins for hemodialysis catheter insertion. We experienced success with a cut-down method for permcath through a completely occluded IJV. We, therefore, find surgical recanalization to be better than percutaneous method in terms of cost and safety.

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Dialysis Catheter Placement in Patients With Exhausted Access

Cited by 33 publications

References 23 publications

A survey of the anesthetic management of pediatric kidney transplantation in France

A survey of the anesthetic management of pediatric kidney transplantation in France

Percutaneous transhepatic hemodialysis catheters in chronic hemodialysis patients: technique, functional outcome, and complications from a large population study

Cut-down method for perm catheter insertion in patients with completely occluded internal jugular vein

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