Use of an intra-aortic Tesio catheter as vascular access for haemodialysis

Intracardiac access for hemodialysis: A case series

“…3 Lund et al described percutaneous translumbar inferior vena cava cannulation. 7 The catheter was still working at 7 months after placement without complications. Cumulative patency was 52% at 6 months and 17% at 12 months.…”

“…6 Punzi et al described the successful insertion of a 70 cm Tesio catheter (MCTC 1070 K-A, Medcomp, PA, USA) directly into the abdominal aorta via the right femoral artery. 7 The catheter was still working at 7 months after placement without complications. Inferior vena cava cannulation via a surgical approach has also been reported, performed through a right lateral abdominal incision under general anesthesia.…”

“…2 Infradiaphragmatic approaches include cannulation of the hepatic vein via the transhepatic route, 3 azygos vein via the percutaneous translumbar route, 4,5 the renal vein via the percutaneous transrenal route, 6 the aorta via the femoral artery, 7 and surgical cannulation of the IVC (Inferior Vena Cava). These include supradiaphragmatic approaches such as cannulation of the innominate vein, surgically entering the SVC (Superior Vena Cava), 1 or cannulating the small thoracic or neck collaterals.…”

“…These include supradiaphragmatic approaches such as cannulation of the innominate vein, surgically entering the SVC (Superior Vena Cava), 1 or cannulating the small thoracic or neck collaterals. 2 Infradiaphragmatic approaches include cannulation of the hepatic vein via the transhepatic route, 3 azygos vein via the percutaneous translumbar route, 4,5 the renal vein via the percutaneous transrenal route, 6 the aorta via the femoral artery, 7 and surgical cannulation of the IVC (Inferior Vena Cava). 8 Archundia et al described a case report of insertion of a Hickman catheter into the superior vena cava via right parasternal access using an extra pleural technique.…”

Briefly noted

“…A 70 cm Tesio catheter placed in the abdominal aorta (via the right femoral artery) was still functioning as a dialysis access after 7 months without major complications (15).…”