Transhepatic venous access for hemodialysis: A single-centre expirience
Introduction. A percutaneous transhepatic approach has been used to place tunneled catheters in the inferior vena cava for hemodialysis. This route through the suprahepatic vein could be used to place a tunnelled catheter for permanent haemodialysis without complications and with an excelle...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
Published: |
Military Health Department, Ministry of Defance, Serbia
2022-01-01
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Series: | Vojnosanitetski Pregled |
Subjects: | |
Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100002S.pdf |
Summary: | Introduction. A percutaneous transhepatic approach has been used to place
tunneled catheters in the inferior vena cava for hemodialysis. This route
through the suprahepatic vein could be used to place a tunnelled catheter for
permanent haemodialysis without complications and with an excellent
permeability rate. Single centre expirience. From 2011 to 2020 in a Military
Medical Academy we treated 4 patients with transhepatic central venous
catheter for hemodialysis. All of them had exhausted approaches during period
of hemodialysis. Arterio-venous fistulas had been thrombosed on the arms,
thrombosis subclavian vein billateraly or superior cava veinand complications
by femoral catheters was present. Peritoneal dialysis was not possible.
Discusion. Limited number of papers descripted outcome of placement
transhepatic catheters for hemodialysis. In our expirience one patient needed
scroll catheter due hemodialysis had not well outcome, and one patient needed
thrombolysis catheter.Two of them are on hemodialysis without complications
for 300 and 1650 days. Conclusion. The transhepatic venous access under
ultrasound and radioscopic guidance is a simple and safe method. It is an
acceptable alternative for permanent haemodialysis catheters when other
venous accesses are exhausted, and when it is performed by a well-trained
team. |
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ISSN: | 0042-8450 2406-0720 |