Beware: The femoral haemodialysis catheter –  a surgeon’s perspective

Toit, Tinus Du; Thomson, David; Muller, Elmi

doi:10.7196/samj.2017.v107i6.12391

Cited by 2 publications

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“…A proportion of our dialysis population had prolonged femoral catheters in femoral veins for dialysis, which is a risk factor for future graft loss. [44] Arterial complications could be related to immunological risk factors. All arterial anastomosis were done in a standardised fashion i.e.…”

Section: Discussionmentioning

confidence: 99%

Outcomes and challenges of a kidney transplant programme at Groote Schuur Hospital, Cape Town: A South African perspective

et al. 2019

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IntroductionAccess to dialysis and transplantation in the developing world remains limited. Therefore, optimising renal allograft survival is essential. This study aimed to evaluate clinical outcomes and identify poor prognostic factors in the renal transplant programme at Groote Schuur Hospital [GSH], Cape Town. MethodData were collected on all patients who underwent a kidney transplant at GSH from 1st July 2010 to the 30 June 2015. Analyses were performed to assess baseline characteristics, graft and patient survival, as well as predictors of poor outcome. Results198 patients were transplanted. The mean age was 38 +/- 10.5 years, 127 (64.1%) were male, and 86 (43.4%) were of African ethnicity. Deceased donor organs were used for 130 (66.7%) patients and living donors for 65 (33.3%). There were > 5 HLA mismatches in 58.9% of transplants. Sepsis was the commonest cause of death and delayed graft function [DGF] occurred in 41 (21.4%) recipients. Patient survival was 90.4% at 1 year and 83.1% at 5 years. Graft survival was 89.4% at 1 year and 80.0% at 5 years. DGF (HR 2.83 (1.12–7.19), p value = 0.028) and recipient age > 40 years (HR 3.12 (1.26–7.77), p value = 0.014) were predictors of death.ConclusionDespite the high infectious burden, stratified immunosuppression and limited tissue typing this study reports encouraging results from a resource constrained transplant programme in South Africa. Renal transplantation is critical to improve access to treatment of end stage kidney disease where access to dialysis is limited.

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Section: Discussionmentioning

confidence: 99%

Outcomes and challenges of a kidney transplant programme at Groote Schuur Hospital, Cape Town: A South African perspective

et al. 2019

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“…5,6 Since heterotopic kidney transplants are typically done in the right iliac fossa with graft anastomosis to right external iliac vessels, iliac vein thrombosis, or stenosis due to a right-sided TDC can be a potential issue for a patient awaiting kidney transplant. 7 It has been argued that a shorter, straighter course of the right iliac vein into the IVC when compared to the left, may decrease the risk of deep venous thrombosis with right-sided femoral TDC’s. 8 Left-sided TDC also has an increased risk of iliac compression syndrome defined as compression of the left iliac vein by the iliac artery especially in the presence of an indwelling catheter.…”

Section: Which Side Is Preferred For the Placement Of The Femoral Dia...mentioning

confidence: 99%

Tunneled femoral dialysis catheter: Practical pointers

et al. 2021

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One of the most challenging aspects of providing end-stage kidney disease care is to achieve adequate long-term access to the bloodstream to support hemodialysis (HD) therapy. Although upper extremity arteriovenous fistula remains the vascular access of choice for patients on HD, complications such as central venous stenosis, access thrombosis, or exhaustion of suitable access sites in the upper extremity, ultimately result in pursuing vascular access creation in the lower extremity. The current review focuses on the indications, contraindications, and clinically relevant practical procedural tips to successfully place a tunneled femoral dialysis catheter. The review highlights some of the prevailing misconceptions regarding femoral catheter placement practices.

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Beware: The femoral haemodialysis catheter – a surgeon’s perspective

Cited by 2 publications

References 13 publications

Outcomes and challenges of a kidney transplant programme at Groote Schuur Hospital, Cape Town: A South African perspective

Outcomes and challenges of a kidney transplant programme at Groote Schuur Hospital, Cape Town: A South African perspective

Tunneled femoral dialysis catheter: Practical pointers

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