Complications of Subclavian Catheter Hemodialysis: A 5 Year Prospective Study in 257 Consecutive Patients

Vanholder, Raymond; Lameire, Norbert; Verbanck, J.; Rattinghe, R. Van; Kunnen, Marc; Ringoir, S

doi:10.1177/039139888200500506

Cited by 75 publications

(33 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Central venous catheters and pacemakers are the most common causes due to indwelling device. In addition, subclavian vein catheterization is associated with stenosis, thrombosis, infection, hemo-pneumothorax, and bleeding [3,4] . Our patient was especially at risk for bleeding due to her end-stage renal disease leading platelet dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Superior vena cava syndrome secondary to indwelling peripherally inserted perm-catheter in 33-year-old female

Patel

Jearjasingam

Patel

et al. 2015

CRIM

View full text Add to dashboard Cite

We report a case of acute onset superior vena cava (SVC) syndrome secondary to long-term indwelling catheter, utilized for dialysis in a patient during a previous hospital stay, and a review of literature. The patient is a 33-year-old female with a past medical history of Type 1 diabetes, hypertension, end stage renal disease, cerebral vascular accident (CVA), and peripheral artery disease presenting with acute onset of facial, neck, and upper extremity swelling with decreased oxygen saturation. Symptoms of SVC syndrome include swelling of the face, neck, and upper extremity. In addition, there is prominent facial edema and flushing, with jugular venous distension that is exacerbated when the arms are placed over the head. Diagnosis includes a thorough clinical exam with imaging modalities for confirmative diagnosis. Options include noninvasive imaging such as ultrasound, which is preferred for peripheral venous obstruction, while magnetic resonance angiography (MRA) and computed tomography angiography (CTA) can confirm central obstruction. Treatment due to stenosis by catheter involves stenting with balloon angioplasty which can provide immediate relief of symptoms. High degree of suspicion for superior vena cava syndrome should arise when a patient presents with common symptoms and long-term central lines. This case demonstrates the long-term effects of indwelling catheters on patients with pre-existing vascular and renal disease.

show abstract

Section: Discussionmentioning

confidence: 99%

Superior vena cava syndrome secondary to indwelling peripherally inserted perm-catheter in 33-year-old female

Patel

Jearjasingam

Patel

et al. 2015

CRIM

View full text Add to dashboard Cite

show abstract

“…The incidence of pneumothorax varies from less than 1 percent to more than 10 percent of insertions, depending on the skill and experience of the physician. Pericardial rupture and tamponade also have been described [93,94]. There is less likelihood of arterial puncture or pneumothorax in ultrasound-guided catheter insertion [95].…”

Section: Non-tunnelled Double Lumen Catheters Complicationsmentioning

confidence: 99%

Vascular Access for Hemodialysis

Pantelias¹,

Grapsa²

2011

Technical Problems in Patients on Hemodialysis

View full text Add to dashboard Cite

“…Infection is a major problem in any situation where artificial access systems are used [4]. Once bacterial contamination occurs, bacteria stick to the polymer material and to its fibrin sheath covering.…”

Section: Affinity Of Bacteria For Foreign Materialsmentioning

confidence: 99%

Incidence of Infectious Morbidity and Mortality in Dialysis Patients

Vanholder

Biesen²

2002

Blood Purif

Self Cite

View full text Add to dashboard Cite

Infections remain among the major causes of disease, hospitalization and death in uremic patients, especially in those treated by dialysis. Several pathophysiologic factors enhance this infectious risk: (1) breakdown of protective barriers; (2) affinity of bacteria for foreign materials; (3) bioincompatibility; (4) uremic toxin retention; (5) deficiency and resistance to vitamin D; (6) carriership of germs, and (7) malnutrition. Twenty to 30% of dialysis patients develop infection, and 20–30% of these die from their infection. Sepsis is significantly more frequent, and mortality secondary to sepsis is 50 times higher than in the normal population. Bacteremia (prevalence 1 episode/100 patient-months) is mainly caused by Gram-positive species, especially in vascular access-related infection and infection of unknown origin. Among these Gram-positive germs, staphylococci play a predominant role. The most frequent and most morbid viral infections are associated with hepatitis. Whereas the incidence of hepatitis B decreases, hepatitis C has become the major variant. The incidence of tuberculosis has increased up to 15 times, and in the Western world it mainly affects patients who immigrated from endemic areas. Fungal infections are also frequent, especially in the setting of peritoneal dialysis. In conclusion, infections remain a frequent and morbid problem in dialysis patients. Preventive measures should be applied more vigorously.

show abstract

Complications of Subclavian Catheter Hemodialysis: A 5 Year Prospective Study in 257 Consecutive Patients

Cited by 75 publications

References 3 publications

Superior vena cava syndrome secondary to indwelling peripherally inserted perm-catheter in 33-year-old female

Superior vena cava syndrome secondary to indwelling peripherally inserted perm-catheter in 33-year-old female

Vascular Access for Hemodialysis

Incidence of Infectious Morbidity and Mortality in Dialysis Patients

Contact Info

Product

Resources

About