Femoral Vein Tunneled Catheters as a Last Resort to Vascular Access: Report of Five Cases and Review of Literature

Budruddin, M.; Mohsin, Nabil; Amitabh, J.; Ehab, M.; Pramod, K.; Abbas, P.; Khalil, M.; Al-Lawati, S.

doi:10.1080/08860220902780077

Cited by 17 publications

(10 citation statements)

References 7 publications

(15 reference statements)

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“…Tunneled cuffed catheters are an attractive and more reliable option for longer-term access than non-tunneled uncuffed catheters. Traditionally, femoral vein tunneled catheters have been reserved for and studied in patients who have limited venous sites in their upper extremities (22, 47, 48). The IJ vein site has usually been given a preference for hemodialysis access, owing mainly to a perceived higher catheter survival rate (49, 50) and a lower risk of infection (50) compared with femoral vein catheters.…”

Section: Discussionmentioning

confidence: 99%

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Hingwala

Bhola

2014

J Vasc Access

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Section: Discussionmentioning

confidence: 99%

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Hingwala

Bhola

2014

J Vasc Access

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“…The TCC is inserted through the internal jugular vein in most patients. However, catheter insertion into the femoral or iliac vein was also reported in 2009 . In recent years, Wang et al reported that catheters were inserted into 70 elderly HD patients and good clinical courses were obtained .…”

Section: Discussionmentioning

confidence: 99%

“…However, catheter insertion into the femoral or iliac vein was also reported in 2009. 12 In recent years, Wang et al reported that catheters were inserted into 70 elderly HD patients and good clinical courses were obtained. 13 We also performed catheter insertion into the femoral vein for long-term bedridden patients.…”

Section: Discussionmentioning

confidence: 99%

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

Okamoto

Sakurada

Koitabashi

et al. 2018

Hemodialysis International

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Introduction: As the number of elderly end‐stage renal disease patients lacking suitable vessels for arteriovenous fistula (AVF) is increasing, indications for tunnel cuffed catheters (TCCs) may be expanding. This study aimed to clarify changes over time in the number of patients with TCC and indications for TCCs. Methods: This single‐center retrospective study analyzed 143 catheters for 95 patients who inserted TCCs between July 2005 and July 2017. Patients were divided into two groups (early‐ and late‐phase groups) based on the median observational period. Demographic data and clinical information were then compared. Findings: Fifty TCCs were inserted in the early phase group, and 93 TCCs were inserted in the late‐phase group. The late‐phase group was older (77 vs. 70 years; P = 0.003) and showed a higher frequency of hypertensive nephropathy (29% vs. 14%; P < 0.05) and a lower frequency of a history of cardiovascular disease (52.7% vs. 70.0%; P = 0.045). In the late‐phase group, indications for bridge vascular access (0% vs. 11.8%; P < 0.05) or severe cardiac dysfunction (8.0% vs. 20.5%; P < 0.05) were increased. In addition, the late‐phase group showed increases in percentage of patients with the catheter inserted in the femoral vein (10.0% vs. 23.7%; P = 0.047), nephrologists performing catheter insertion (56.0% vs. 87.1%; P < 0.001), and the patients who underwent superficialization of the brachial artery (28.0% vs. 46.2%; P = 0.034). Significant differences in catheter survival, incidence of complications, reasons for catheter removal, or incidence of catheter‐related infection were not observed between groups. Discussion: Patients with indications for TCC may be increasing due to an increase in elderly end‐stage renal disease patients whose activities of daily living have decreased. In addition, indications for bridge vascular access were widely accepted in the late‐phase group.

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“…朱秀梅，李琦南京军区福州总医院神经外科，福建福州，中国通讯作者：朱秀梅，E-mail: fzzyysjwk@sina.com 【摘要】股静脉置管术因其操作简单、易于穿刺而广泛应用于临床。置管穿刺部位不当可使深静脉血栓发生风险增加。如不及时救治，甚至并发肺栓塞，导致死亡率增加, 其治疗费用也将增加，因此对深静脉血栓的预防非常重要。本文概述了股静脉置管发生下肢深静脉血栓定义、原因、诊断及一般处理，同时介绍了如何采用预防深静脉血栓的集束干预策略及相关措施来预防深静脉血栓的形成。【关键词】下肢深静脉血栓；股静脉置管；集束干预股静脉置管术因其操作简单、易于穿刺而广泛应用于临床 [1] 。穿刺处皮肤凹凸不平，导致穿刺点密闭较差，股静脉血流慢，红细胞、血小板易发生聚集，形成血栓 [2] 。Geertsw 等 [3] 近期研究置管穿刺部位不当可使深静脉血栓发生风险增至 6 倍。深静脉血栓使患者的肢体活动障碍，住院日延长，其治疗费用也将增加, 增加幅度为原发病费用的 75% [4] ，平均 1/3 的深静脉血栓病人生活质量越来越差 [5] [7] 。对于可疑病例，临床上最常用的是阻抗容积描记(IPG),其原理是使下肢静脉达到最大充盈后，观察静脉最大流出率，该方法适用于诊断腘静脉近侧的深静脉主干的静脉血栓形成 [7] 。静脉造影，彩色多普勒超声对下肢深静脉血栓的诊断有很高的敏感性和特异性 [11][12]…”

Section: 股静脉置管发生下肢深静脉血栓的集束干预unclassified

股静脉置管发生下肢深静脉血栓的集束干预

Zhu

2014

GJANP

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Femoral vein intubation is widely in clinical practice due to its simplicity of operator and easy to puncture. However, improper catheter puncture site can increase the risk of deep vein thrombosis. Pulmonary embolism may occur without timely treatment, which results in increased mortality, it will also increase the cost of treatment, and therefore the prevention of deep vein thrombosis is very important. The paper introduced the definition of deep venous thrombosis of lower limbs during femoral vein intubation, its causes, diagnoses and treatment. It also presented bundles of care for prevention of deep venous thrombosis.

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Femoral Vein Tunneled Catheters as a Last Resort to Vascular Access: Report of Five Cases and Review of Literature

Cited by 17 publications

References 7 publications

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single‐center experience

股静脉置管发生下肢深静脉血栓的集束干预

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