Intracardiac access for hemodialysis: A case series

Agrawal, Siddhartha; Alaly, J; Misra, Madhukar

doi:10.1111/j.1542-4758.2009.00415.x

Cited by 11 publications

(12 citation statements)

References 17 publications

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“…10,12 The causes of death were also different from those previously reported -cardiovascular (acute myocardial infarction and ventricular fibrillation 12 and metabolic. 10 The mean age of this population, well above of previously published series (66 years versus 49, 54 and 59 years), [10][11][12] may justify these poorer results. Patients who died in the early postoperative period were 76 and 69 years old, respectively, and had several comorbidities, reflected by their high Charlson comorbidity index, 6 and 7, respectively.…”

Section: Discussionsupporting

confidence: 57%

“…After several catheter-related complications, the patient died from a situation not related to the vascular access. In other cases, 6,11 IAC insertion was a bridge to kidney transplantation, as was one of our patients.…”

Section: Discussionmentioning

confidence: 99%

“…This confirms the results of previous publications, in which the IAC placement via thoracotomy was considered a viable alternative in patients with vascular access exhaustion. Agrawal et al 11 reported the case with the longest survival time on HD with an IAC.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, there have been several case reports, [7][8][9] and three small series were published. [10][11][12] The experience with these catheters in HD is limited and, although their use remains restricted to life-saving situations of multiple venous access failure, with no other possibility of alternative RRT, an analysis of survival on HD with IAC and associated complications is essential to consider the best therapeutic options.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

Pereira

López

Godinho

et al. 2017

Jornal Brasileiro De Nefrologia

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

Pereira

López

Godinho

et al. 2017

Jornal Brasileiro De Nefrologia

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“…The first case series (4 patients undergoing hemodialysis therapy) was reported in 2009 by Agrawal et al [11], who placed indwelling catheters in the superior vena cava under direct vision via right parasternal access under anterior thoracotomy, without establishing its long-term outcomes. In 2010, Restrepo Valencia et al [12] reported 4 patients undergoing hemodialysis therapy using the same technique.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of a Direct Catheterization of Tunneled Cuffed Catheter via Superior Vena Cava: A Choice after Vascular Access Exhaustion

et al. 2015

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Purpose: To establish a new way for long-term vascular access for dialysis patient with vascular access exhaustion. Materials and Methods: A patient with diabetes was found with edema of right arm and high venous pressure of AVF during hemodialysis. Intervention operations were performed to establish a tunneled cuffed catheterization. Results: Occlusion of innominate vein was confirmed by MDCTV. Puncture to superior vena cava was successful 0.5 cm below the lateral head of sternocleidomastoid muscle directly via the right neck area. Conclusion: Direct puncture via superior vena cava might be the last choice for catheter insertion site. choice for catheter insertion site.

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Catheterization via direct cannulation of superior vena cava for a hemodialysis patient with an original dysfunctional catheter on the left internal jugular vein

Zhou

Lin

Yang³

et al. 2017

Front. Med.

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Establishing a long-term vascular access in patients exhibiting vascular access exhaustion is challenging. In this study, we reported a case of a direct catheterization in the superior vena cava of a hemodialysis patient with vascular access exhaustion and original dysfunctional catheter inserted via the left internal jugular vein. The direct catheterization was performed with cuffed tunnel catheter (CUFF) and guided by digital subtraction angiography (DSA) and multidetector computed tomography venography (MDCTV). The DSA and MDCTV results revealed an occlusion in the right innominate vein and thromboses in the left innominate, right internal jugular, subclavian, and femoral veins. The distal end of the superior vena cava was localized clearly by the original CUFF under DSA. Directed at the distal end of the superior vena cava, a 0.5-cm secondary puncture was introduced below the lateral head of the sternocleidomastoid muscle via the right neck area. This study is one of the few reports regarding direct catheterization of CUFF via the superior vena cava of a patient with vascular access exhaustion and CUFF dysfunction on the left internal jugular vein.We believe that our study can provide a new alternative for inserting central venous catheter for such patient.

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Intracardiac access for hemodialysis: A case series

Cited by 11 publications

References 17 publications

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

A Case Report of a Direct Catheterization of Tunneled Cuffed Catheter via Superior Vena Cava: A Choice after Vascular Access Exhaustion

Catheterization via direct cannulation of superior vena cava for a hemodialysis patient with an original dysfunctional catheter on the left internal jugular vein

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