Insertion of permanent hemodialysis catheters through the ... | 合法醫療器材資訊網

由LKSkandalos著作·2012·被引用1次—Introduction:Inpatientswithendstagerenaldiseasewhenthereisinabilityforthecreationofadirectarterio-venousfistulaorbyusingagraft, ...

Introduction: In patients with end stage renal disease when there is inability for the creation of a direct arterio-venous fistula or by using a graft, the insertion of a permanent hemodialysis catheter in a central vein ensures the conduction of hemodialysis. We present a technique of placing a permanent catheter in the inferior vena cava through the great saphenous vein without the use of a guide wire.

Patients-methods: Over the study period, 12 hemodialyzed patients, with a mean age of 73 years, were referred for placement of a dialysis catheter through the great saphenous veins. The procedure was performed under local anesthesia, ECG monitoring, and fluoroscopic control. The insertion of the tunneled hemodialysis catheters was accomplished with ease, through surgical exposure of the great saphenous vein, without the need for a guidewire.

Results: The hemodialysis catheters funct...