Inferior Vena Kavaya Retroperitoneal Tünelli Hemodiyaliz Katateri: Üç Hastalık Olgu
Uzun süre hemodiyalize giren hastalarda acil hemodiyaliz için yeterli damar giriş yolu bulmak zordur. Biz bu çalışmada acil hemodiyalize girecek olan başka bir seçeneği olmayan hastalarda alternatif bir metod olan retroperitoneal yaklaşımla inferior vena kava’ya tünelli hemodiyaliz katateri yerleştirilmesini göstermeyi amaçladık. İkisi kadın, bir tanasi erkek olan üç hastaya retroperitoneal yaklaşımla vena kava inferiora tünelli hemodiyaliz katateri yerleştirdik. Hastaların ortalama yaşı 51,3 (min: 36, maks: 56), ortalama diyaliz süresi 4,3 yıl (min: 2, maks: 6) idi. Sonuçta retroperitoneal yaklaşım ile vena kava inferiora tünelli hemodiyaliz katateri yerleştirilmesi özellikle acil hemodiyalize girecek ve başka bir seçeneği olmayan hastalarda alternatif bir damar giriş yolu olabilir.
Retroperitoneal Tunneled Hemodialysis Catheter in Inferior Vena Cava: A Report of Three Cases
Finding an appropriate vascular access is difficult in long term hemodialysispatients for emergency hemodialysis. The aim of this study was to present tunneled hemodialysis catheter placement to inferior vena cava through retroperitoneal approach as an alternative method for patients who have emergency hemodialysis and no other choice. We placed tunneled hemodialysis catheter into inferior vena cava through retroperitoneal approach in three patients for emergency hemodialysis, two of them being female and one being male. The mean age of the patients was 51.3 years (min: 36, max: 56) and mean dialysis time was for a period of 4.3 years (min: 2, max: 6). In conclusion, placement of tunneled hemodialysis catheter into the inferior vena cava through retroperitoneal approach can be an alternative vascular access procedure for patients especially who have emergency hemodialysis and no other choice.
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- Foley RN, Collins AJ. End-stage renal disease in the United States: an update from the United States Renal Data System. J Am Soc Nephrol 2007; 18: 2644-8.
- Vascular Access Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis 2006; 48(Suppl 1): S248-73.
- JC Andrews. Translumbar Approach to the Inferior Vena Cava for Chronic Venous Access. Operative Techniques in General Surgery 2001; 3: 238-42.
- JC Andrews. Translumbar Approach to the Inferior Vena Cava for Chronic Venous Access. Operative Techniques in General Surgery 2001; 3: 238-42.
- Schwab SJ, Buller GL, McCann RL, Bollinger RR, Stickel DL. Prospective evaluation of a Dacron cuffed hemodialysis catheter for prolonged use. Am J Kidney Dis 1988; 11: 166-9.
- Liangos O, Gul A, Madias NE, Jaber BL. Long-term management of the tunneled venous catheter. Semin Dial 2006; 19: 158-64.
- Ash SR. Fluid mechanics and clinical success of central venous catheters for dialysis--answers to simple but persisting problems. Semin Dial 2007; 20: 237-56.
- Mickley V. Central vein obstruction in vascular access. Eur J Vasc Endovasc Surg 2006; 32: 439-44.
- Gordon AC, Saliken JC, Johns D, Owen R, Gray RR. US-guided puncture of the internal jugular vein: complications and anatomic considerations. J Vasc Interv Radiol 1998; 9: 333-8.
- Woda RP, Miner ME, McCandles C, et al. The effect of right internal jugular vein cannulation on intracranial pressure. J Neurosurg Anesthesiol 1996; 8: 286-92.
- Chung HY, Beheshti MV. Principles of non-tunneled central venous access. Tech Vasc Interv Radiol 2011; 14: 186-91.
- Krutchen AE, Bjarnason H, Stackhouse DJ, Nazarian GK, Magney JE, Hunter DW. The mechanisms of positional dysfunction of subclavian venous catheters. Radiology 1996; 200: 159-63.
- Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ, Krzywda EA, Andris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 1990; 177: 353-6.
- Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA 2001; 286: 700-7.
- Lau TN, Kinney TB. Direct US-guided puncture of the innominate veins for central venous access. J Vasc Interv Radiol 2001; 12: 641-5.
- Lund GB, Trerotola SO, Scheel PJ Jr. Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 1995; 25: 732-7.
- Murthy R, Arbabzadeh M, Lund G, Richard H 3rd, Levitin A, Stainken B. Percutaneous transrenal hemodialysis catheter insertion. J Vasc Interv Radiol 2002; 13: 1043-6.
- Kurulay E, Karaca Y, Yoldaş S, Kaya T. Transsternal indwelling catheter insertion into superior vena cava. Turk J Thoracic and Cardio Surg 2013; 21: 242-4.
- Stavropoulos SW, Pan JJ, Clark TW, Soulen MC, Shlansky- Goldberg RD, Itkin M, et al. Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol 2003; 14: 1187-90.
- Butros SR, Walker TG, Salazar GM, Kalva SP, Oklu R, Wicky S, Ganguli S. Direct translumbar inferior vena cava ports for longterm central venous access in patients with cancer. J Vasc Interv Radiol 2014; 25: 556-60.
- Whitman ED, Complications associated with the use of central venous access devices. Curr Probl Surg 1996; 33: 309-78.