Longer duration of catheter patency, but similar infection rates with internal jugular vein versus iliac vein tunneled cuffed hemodialysis catheters: a single-center retrospective analysis

Wang, Lihua; Fang, Wei; Ai-li, Jiang; Chen, Haiyan; Sun, Guijiang; Bi, Xueqing

doi:10.1007/s11255-015-1089-7

Cited by 7 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If patients have contraindications to anticoagulants (thrombus greater than 6 cm or abnormalities of the heart), thrombectomy can be considered. 9,10 Although the effort to make AV fistulas in hemodialysis patients increase, the prevalence of tunneled hemodialysis catheters remains high (National Vascular Access Initiative, Fistula First). In the United States, the use of TDC was 62.3% in hemodialysis patients in 2006.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report

Ginting

Yasa

Sembiring

2020

JKKI

View full text Add to dashboard Cite

We presented a 60-year-old woman with an history of end-stage renal disease on regular hemodialysis, twice a week, came with a tunneled dialysis catheter (TDC) that was attached to the right internal jugular vein. TDC has been dysfunction since one week ago that was suspected as a result of thrombosis in the lumen of TDC. TDC was trimmed at the insertion of the jugular vein. And then a wire was inserted into TDC that has been trimmed. From Chest x-ray imaging, migration of fragmented TDC was found inside the heart chamber with wire inside the lumen. Fluoroscopy showed a picture of a fragmented TDC in the heart chamber with a wire inside the lumen. Retrieval of fragmented TDC used percutaneus snare loop method with wire guiding that was inserted through the left femoral vein. Fragmented TDC was removed successfully. Retrieval of the fragmented TDC through endovascular techniques is classified as a simple. Simple snare loop method is quite effective and very cheap compared to the commercial snare, open surgery or laparoscopic surgery that can be avoided. Kami melaporkan seorang wanita 60 tahun dengan riwayat penyakit saat ini adalah gagal ginjal kronik dengan hemodialisa reguler dua kali seminggu. TDC terpasang di vena jugularis interna kanan. TDC mengalami disfungsi sejak 1 minggu lalu, dicurigai akibat dari trombosis yang terbentuk di dalam lumen kateter hemodialisa. TDC kemudian digunting sebagian pada insersi vena jugular dan wire dimasukkan ke dalam kateter hemodialisa tersebut. Dari pencitraan X-ray didapatkan migrasi bagian kateter hemodialisa berada di dalam ruang jantung dengan wire di dalam lumen kateter hemodialisa. Fluoroskopi menunjukkan gambaran sebagian kateter hemodialisa berada di ruang jantung dengan wire terpasang di dalam potongan lumen kateter hemodialisa. Ekstraksi sebagian kateter hemodialisa dilakukan menggunakan metode loop snare dengan akses guiding wire yang dimasukkan melalui vena femoralis kiri. Fragmen kateter kemudian berhasil dikeluarkan. Pengambilan fragmen melalui endovaskular tergolong teknik yang sederhana. Loop snare yang sederhana sudah cukup efektif dan murah dibanding komersial snare, sehingga pembedahan terbuka ataupun laparaskopik dapat dihindari.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report

Ginting

Yasa

Sembiring

2020

JKKI

View full text Add to dashboard Cite

show abstract

“…Most notably, accidental injury may occur to the peritoneal sac, thus leading to peritonitis. Furthermore, compared to internal jugular vein, there is an increased risk of catheter dysfunction, while infectious complications seem to be similar [3]. Malposition of a dialysis catheter introduced via the femoral vein into the ALV has been described [4,5], but a similar situation is not reported for cuffed tunneled catheters placed into the iliac vein.…”

Section: Discussionmentioning

confidence: 99%

Anatomy Revisited: Hemodialysis Catheter Malposition in the Left Ascending Lumbar Vein

Büttner

Patyna²,

Rudolf³

et al. 2017

Blood Purif

View full text Add to dashboard Cite

In selected cases, cuffed tunneled catheters via the iliac vein are implanted as a last resort access for hemodialysis. To monitor the correct position, sonography of the inferior vena cava (IVC) is sufficient in most cases. Position control using an X-ray of the abdomen is not routinely recommended when femoral catheters are implanted. In this report, we describe the case of a 59-year-old patient on chronic hemodialysis due to granulomatosis with polyangiitis and complex shunt history with multiple shunt occlusions and revisions. The implantation of an iliac-cuffed tunneled catheter led to complications because the catheter was malpositioned into the left ascending lumbar vein (ALV). It is important to be aware of potential incorrect positioning of dialysis catheters into the ALV. Due to the anatomical relation to the IVC, this happens more frequently on the left side than on the right side. In case of doubt, the correct placement of large-bore catheters via iliac access route should be verified by means of appropriate imaging before hemodialysis is performed.

show abstract

“…These conditions are thought to contribute to formation of fibrin plaques on the wall of the vein. 24 Moreover, in a clinical study, we found that the TCC dysfunction rate was higher in the iliac vein than in the internal jugular vein, 48 which suggests that different directions of blood flow may also influence formation of a fibrin sheath and thrombosis, but this awaits further investigation.…”

Section: Fibrin Sheathmentioning

confidence: 92%

Pathology of catheter-related complications: what we need to know and what should be discovered

2022

View full text Add to dashboard Cite

Despite the considerable efforts made to increase the prevalence of autogenous fistula in patients on hemodialysis, tunneled cuffed catheters are still an important access modality and used in a high percentage of the hemodialysis population. However, because of the conundrum posed by tunneled cuffed catheters, patients can develop a multitude of complications, including thrombosis, infections, formation of a fibrin sheath, and central vein stenosis, resulting in increased morbidity and mortality as well as placing a heavy burden on the healthcare system. However, with an increasing number of studies now focusing on how to manage these catheter-related complications, there has been less translational research on the pathology of these complications. This review of the most recent literature provides an update on the pathological aspects of catheter-related complications, highlighting what we need to know and what is yet to be discovered. The future research strategies and innovations needed to prevent these complications are also addressed.

show abstract

Longer duration of catheter patency, but similar infection rates with internal jugular vein versus iliac vein tunneled cuffed hemodialysis catheters: a single-center retrospective analysis

Abstract: Taken together, our results suggested that iliac vein TCCs present an increased risk of dysfunction compared to internal jugular vein TCCs in elderly hemodialysis patients.

Cited by 7 publications

References 29 publications

Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report

Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report

Anatomy Revisited: Hemodialysis Catheter Malposition in the Left Ascending Lumbar Vein

Pathology of catheter-related complications: what we need to know and what should be discovered

Contact Info

Product

Resources

About