Repeated femoral vein puncturing for maintenance haemodialysis vascular access

Kuroda, Hiroshi; Kaneda, Fumika; Shimoyamada, Kyutaro; Sakai, Shinichiroh; Takahashi, Mitsuo

doi:10.1093/ndt/gfg205

Cited by 17 publications

(12 citation statements)

References 18 publications

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“…However, these procedures have a significant risk. For an immediate establishment of vascular access for hemodialysis, options included intermittent puncture of the femoral vein (5). In cases in which all conventional sites have been exhausted, unconventional femoral, translumber, or transhepatic approaches for central vein catheter placement have been tried (6).…”

Section: Discussionmentioning

confidence: 99%

Successful Permanent Catheter Implantation After Percutaneous Transluminal Angioplasty to the Right Subclavian and Inominate Vein Stenosis in a Hemodialysis Patient

et al. 2010

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Difficulties in gaining vascular access have become one of the major problems in long-term hemodialysis patients. We report a case with an extreme vascular access problem, which was solved by the placement of a permanent central vein catheter after successful angioplasty to the right subclavian and inominate vein stenosis. A 78-year-old woman with end-stage renal disease due to diabetic nephropathy had been on hemodialysis since 1982. She had a history of four procedures that created an arteriovenous fistula during the first four years. In 1986 she was switched to peritoneal dialysis. However, hemodialysis was restarted with a regular arteriovenous fistula in 1991 because of repeated peritonitis, and from 1993 a superficialized brachial artery was used until the artery was exhausted. Since 1997, a permanent central vein catheter was utilized and reinsertion was required four times due to catheter infection during a 6-year period. In 2004, difficulty was experienced in reinserting a new central venous catheter because of multiple stenotic and occlusive lesions of the central veins. Percutaneous transluminal angioplasty was carried out in the stenotic right subclavian and inominate veins, and after successful angioplasty, a permanent central vein catheter could be placed into the right subclavian vein as a vascular access for hemodialysis. Pretreatment with percutaneous transluminal angioplasty of the stenotic central veins before inserting a permanent catheter may be a useful strategy in patients that experience difficulty in the insertion of a catheter.

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Section: Discussionmentioning

confidence: 99%

Successful Permanent Catheter Implantation After Percutaneous Transluminal Angioplasty to the Right Subclavian and Inominate Vein Stenosis in a Hemodialysis Patient

et al. 2010

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“…Current DOQI guidelines encourage placing primary arteriovenous fistula in the non-dominant arm beneath the radiocarpal wrist, which contrasts with the high rate of initial failure, in some centers higher than 50% [2].…”

Section: Introductionmentioning

confidence: 99%

The influence of atherosclerosis and plasma D-dimer concentration in patients with a functioning arteriovenous fistula for maintenance hemodialysis

et al. 2008

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“…Insertion is relatively easy, complications are rare and treatment can be started without delay. [3] Complications of percutaneously inserted intravenous catheters previously reported in literature include bacteremia, mechanical failure or rupture and venous thrombosis. [4] Even though femoral vein temporary haemodialysis catheters are frequently used in India few reports regarding their complications especially fractures have appeared in publications.…”

Section: Discussionmentioning

confidence: 99%

A case report on the management of a broken haemodialysis catheter in the femoral vein

Seth¹,

Seth²,

Kumar³

et al. 2014

Int J Med Sci Public Health

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We are reporting the case of a 24 years old man with end stage renal failure undergoing emergency haemodialysis. His catheter fractured with the distal segment getting lodged in the left femoral vein. Percutaneous extraction of the catheter segment failed and it had to be retrieved through a venotomy performed under local anaesthesia. Catheter fragments in a vein should be promptly extracted to prevent complications such as arrhythmias, perforation of the great vessels and their often fatal embolization to the right heart.

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Repeated femoral vein puncturing for maintenance haemodialysis vascular access

Cited by 17 publications

References 18 publications

Successful Permanent Catheter Implantation After Percutaneous Transluminal Angioplasty to the Right Subclavian and Inominate Vein Stenosis in a Hemodialysis Patient

Successful Permanent Catheter Implantation After Percutaneous Transluminal Angioplasty to the Right Subclavian and Inominate Vein Stenosis in a Hemodialysis Patient

The influence of atherosclerosis and plasma D-dimer concentration in patients with a functioning arteriovenous fistula for maintenance hemodialysis

A case report on the management of a broken haemodialysis catheter in the femoral vein

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