Percutaneous translumbar inferior vena cava cannulation for hemodialysis

Gunnar B. Lund, Scott O. Trerotola, Paul J. Scheel

Research output: Contribution to journalArticlepeer-review

108 Scopus citations

Abstract

The purpose of this study was to evaluate the percutaneous translumbar approach for long-term hemodialysis catheter access. Seventeen double-lumen hemodialysis catheters were placed percutaneously from the right flank to the inferior vena cava in 12 patients. Catheter placement was successful in all patients. Adequate flow rates were obtained. Seven episodes of thrombosis-related access failure occurred (0.33 episodes/100 days at risk). Two catheters were removed and five catheters were managed with urokinase infusion. Six episodes of infection occurred (0.28 episodes/100 days at risk). Four required catheter removal. Two catheters were removed after defects developed in the catheter. Five catheters were removed electively because catheter hemodialysis was discontinued. Four catheters remained in place. Cumulative patency was 52% at 6 months and 17% at 12 months. Translumbar inferior vena cava hemodialysis catheters represent a valuable alternative in cases in which traditional catheter sites have failed.

Original languageEnglish
Pages (from-to)732-737
Number of pages6
JournalAmerican Journal of Kidney Diseases
Volume25
Issue number5
DOIs
StatePublished - May 1995

Keywords

  • Hemodialysis
  • central venous catheterization
  • vena cava inferior

Fingerprint

Dive into the research topics of 'Percutaneous translumbar inferior vena cava cannulation for hemodialysis'. Together they form a unique fingerprint.

Cite this