Successful Obturator vein Vascular Access for Hemodialysis Catheter Placement in Patients with End-stage Renal Disease

Salsamendi, Jason; Pereira, Keith J.; Osiason, Adam D.

doi:10.5301/jva.5000404

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…The obturator artery, vein, and nerve course through the obturator canal, a small arched opening in the superior aspect of the obturator foramen, a potential site of vascular or nerve injury during placement of TDCs via a obturator vein approach (Salsamendi et al, in press). [ 46 ]…”

Section: Access Options For Placement Of Tdcsmentioning

confidence: 99%

Vascular Access for Placement of Tunneled Dialysis Catheters for Hemodialysis: A Systematic Approach and Clinical Practice Algorithm

Pereira

Osiason

Salsamendi

2015

Journal of Clinical Imaging Science

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The role of interventional radiology in the overall management of patients on dialysis continues to expand. In patients with end-stage renal disease (ESRD), the use of tunneled dialysis catheters (TDCs) for hemodialysis has become an integral component of treatment plans. Unfortunately, long-term use of TDCs often leads to infections, acute occlusions, and chronic venous stenosis, depletion of the patient's conventional access routes, and prevention of their recanalization. In such situations, the progressive loss of venous access sites prompts a systematic approach to alternative sites to maximize patient survival and minimize complications. In this review, we discuss the advantages and disadvantages of each vascular access option. We illustrate the procedures with case histories and images from our own experience at a highly active dialysis and transplant center. We rank each vascular access option and classify them into tiers based on their relative degrees of effectiveness. The conventional approaches are the most preferred, followed by alternative approaches and finally the salvage approaches. It is our intent to have this review serve as a concise and informative reference for physicians managing patients who need vascular access for hemodialysis.

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Section: Access Options For Placement Of Tdcsmentioning

confidence: 99%