Percutaneous Translumbar Catheterization of the Inferior Vena Cava as an Emergency access for Hemodialysis – 5 Years of Experience

Abstract

Based on our study, we can conclude that correctly performed percutaneous translumbar catheterization of the inferior vena cava, in order to produce a long-term vascular access for HD, is a valuable and safe method in patients after depletion of standard vascular accesses.

Options for end stage vascular access: Translumbar catheter, arterial-arterial access or right atrial graft?

“…In those with details, the rate was between 5.1% and 23.8% (pooled = 15 dislodgements in 147 catheters = 10.2%). 18,25,26,28 Infection rates were reported by Liu et al 24 as catheterrelated infection in 36% with catheter-related bacteraemia (CRB) as 31% and site infection as 5%. When reported as per catheter-related days (crd), the rate is 4/100 crd.…”

“…Translumbar/transhepatic catheters Published reports from 1995 to 2018 are summarised in Table 1. [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The age range of patients in these reports is from 22 to 83 with a mean age cited between 42 and 61.9 years.…”

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

“…These patients had multiple vascular access failure and central venous occlusion or stenosis unresolved by angioplasty, which made the insertion of an HD catheter into a central vein impossible. The inferior vena cava (IVC) catheterization, an option described by some centres, 13 was not possible in most of these patients. Only one of them had IVC patency, however, the authors experience in this technique was poor and results published in the literature are limited, which determined the option for an IAC in all situations.…”

Arteriovenous Access

“…Translumbar cuffed catheters, first described as an alternate access option in 1995, 85 have limited reported outcomes based on small patient series. These catheters are inserted via the translumbar route into inferior vena cava 86 , 87 and are generally reserved for dialysis patients who have exhausted all other access options. They are technically challenging and may be associated with procedure-related complications (eg, retroperitoneal hematoma).…”