Panhemispheric Infarction: A Complication of Cuffed Catheter

Abstract

The need for reliable vascular access remains the Achilles heel of hemodialysis. Complications of vascular access are a leading cause of morbidity and mortality in patients who undergo hemodialysis, especially in those patients with end-stage renal disease. Among methods of vascular access, arteriovenous fistulae have the lowest rate of infection and should be the access of choice when vascular anatomy permits. Also, the incidence of staphylococcal infections in patients infected with human immunodeficiency virus is increasing. To emphasize the need to use arteriovenous fistula access for hemodialysis whenever possible, we report the case of a patient with end-stage renal disease and human immunodeficiency virus infection who died as a result of panhemispheric infarction and uncal herniation as a result of fulminant staphylococcal bacteremia caused by central venous catheter sepsis.

Acesso vascular para hemodiálise com cateter temporário de duplo lúmen em cães com insuficiência renal aguda

“…Complicações decorrentes do acesso vascular elevam a morbidade e mortalidade em humanos em esquema de HD (AGRAHARKAR et al, 2003). Infecções e trombose são os maiores problemas no acesso venoso jugular (BLAKE et al, 1990), além de obstrução do lúmen do cateter, sangramentos e hematomas (WOJCIESZEK et al, 2002).…”