Okay KARACA, Ata ECEVİT, Mehmet KALENDER, Mehmet TAŞAR, Turan EGE

Retroperitoneal Tunneled Hemodialysis Catheter in Inferior Vena Cava: A Report of Three Cases

Finding an appropriate vascular access is difficult in long term hemodialysis patients 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.

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.

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