Successful Use of Indwelling Cuffed Femoral Vein Catheters in Ambulatory Hemodialysis Patients

Weitzel, William F.; Boyer, C; El-Khatib, Mahmoud; Swartz, Richard D.

doi:10.1016/s0272-6386(12)70146-4

Cited by 23 publications

(8 citation statements)

References 21 publications

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“…The IJ vein site has usually been given a preference for hemodialysis access, owing mainly to a perceived higher catheter survival rate (49, 50) and a lower risk of infection (50) compared with femoral vein catheters. Several studies have now shown that femoral vein tunneled catheters are a safe alternative to IJ vein tunneled catheters or AVG, with low insertion complication rates (22, 51, 52) and reliable access survival times. A study of 41 patients with exhausted thoracic venous access (22) found that the catheter patency at 30, 60, and 180-days was 78%, 71%, and 55%, respectively, with much higher secondary patency rates.…”

Section: Discussionmentioning

confidence: 99%

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Hingwala

Bhola

2014

J Vasc Access

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Section: Discussionmentioning

confidence: 99%

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Hingwala

Bhola

2014

J Vasc Access

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“…Femoral veins can also be used, but their use is associated with the possibility of lower limb venous thrombosis, higher morbidity and mortality rates in relation to the upper limb, and also to a higher incidence of infection. [4][5][6] Translumbar inferior vena cava and transhepatic access are usually exception accesses. [4][5][6]…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] Translumbar inferior vena cava and transhepatic access are usually exception accesses. [4][5][6]…”

Section: Introductionmentioning

confidence: 99%

Utilização da veia ilíaca externa recanalizada para implante de cateter de longa permanência para hemodiálise

Moreira

Borges²,

Costa

et al. 2008

J. vasc. bras.

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O uso de cateteres venosos cervicais para hemodiálise leva freqüentemente à oclusão dessas veias. Como alternativa, os acessos venosos femorais são válidos, porém o seu uso também está associado à oclusão dessas veias e a um maior índice de infecção. Vias alternativas são cada vez mais utilizadas na impossibilidade dos acessos previamente mencionados. Descrevemos neste relato de caso uma alternativa para o implante de cateter de longa permanência para hemodiálise usando a veia ilíaca externa recanalizada. Comentamos os detalhes da técnica utilizada, suas vantagens e desvantagens.

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“…However, ultrasound-guided cannulation is recommended for less experienced physicians and the left side should be avoided because of the danger of chylothorax due to accidental puncture of the thoracic duct. We believe that this method is applicable for patients with difficult vascular anatomy and should be used prior to 'exotic' techniques such as transfemoral, transhepatic, or translumbar access [15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Alternative puncture site for implantable permanent haemodialysis catheters

1996

Nephrology Dialysis Transplantation

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Background. Vascular access represents a major problem in long-term haemodialysis patients. In patients without patent internal arteriovenous fistula, the implantation of cuffed catheters to provide a temporary or permanent central venous access is often necessary. Catheterization of the subclavian vein should be avoided because of the high risk of stenosis or thrombosis. The puncture of the internal jugular vein can be impossible in cases with stenosis or thrombosis due to previous catheterization. To overcome these limitations we evaluated an alternative puncture site for implantation of permanent central venous catheters. Methods. The very low, most central jugular approach, first described by Rao et al, with the site of puncture just above the medial notch of the clavicle, was used to introduce Dacron cuffed dialysis catheters into the innominate vein in four chronic dialysis patients with impeded conventional vascular access. Results. In all four patients puncture of the internal jugular vein using Rao's technique was successful at the first attempt. All four catheters were introduced without any problems. Even in a case with thrombosis of the internal jugular vein and the ipsilateral subclavian vein, this technique was successfully applied. No complications such as haematoma, pneumothorax, or catheter-associated infection were observed. The catheters remained in situ for 2-12 months with excellent blood flow and without clinical evidence of venous stenosis or thrombosis. Conclusions. In case of failure to cannulate the internal jugular vein by a conventional approach, the technique of Rao et al. can be used before sacrificing the subclavian vein or changing to exotic techniques such as translumbar, transfemoral or transhepatic methods.

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Successful Use of Indwelling Cuffed Femoral Vein Catheters in Ambulatory Hemodialysis Patients

Cited by 23 publications

References 21 publications

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Using Tunneled Femoral Vein Catheters for “Urgent Start” Dialysis Patients: A Preliminary Report

Utilização da veia ilíaca externa recanalizada para implante de cateter de longa permanência para hemodiálise

Alternative puncture site for implantable permanent haemodialysis catheters

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