Insertion of subclavian hemodialysis catheters in difficult cases: value of fluoroscopy and angiographic techniques

Selby, J. Bayne; Tegtmeyer, Charles J.; Amodeo, C; Bittner, L; Atuk, NO

doi:10.2214/ajr.152.3.641

Cited by 23 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The insertion of subclavian venous catheters is greatly facilitated by the use of angiointerventional techniques and fluoroscopy of the subclavian vein at the time of venous entry. 8,9 Our procedure time is approximately 30 minutes, and in most instances, it is possible to enter the vein with a single puncture. Patient discomfort and acute complications are minimized, and malposition is avoided.…”

Section: Resultsmentioning

confidence: 99%

Subclavian Central Venous Catheter Insertion: Angiointerventional Technique

Fernando¹,

Juravsky²,

Yedlicka³

et al. 1991

Semin intervent Radiol

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Subclavian Central Venous Catheter Insertion: Angiointerventional Technique

Fernando¹,

Juravsky²,

Yedlicka³

et al. 1991

Semin intervent Radiol

View full text Add to dashboard Cite

“…The best functioning of the catheter depends essentially on the position of the distal tip. Fluoroscopic marking also facilitates proper positioning of the distal tip (10).…”

Section: Insertion Care Monitoring and Evaluation Of Percutaneous mentioning

confidence: 99%

Temporary Vascular Access for Extracorporeal Therapies

Canaud¹,

Leray‐Moragues²,

Kamoun³

et al. 2000

Therapeutic Apheresis

View full text Add to dashboard Cite

Central venous catheters provide at the present time the basic and ideal method to perform acute extracorporeal blood purification. Rapid launch of extracorporeal therapy is indicated in two situations: first, renal conditions presenting as a recognized acute organic renal failure (ARF) and acute decompensation of end stage renal disease (ESRD) without permanent vascular access; second, non-renal conditions presenting as urgent clinical situations requiring isolated ultrafiltration for chronic congestive heart failure, plasmapheresis or selective immunoadsorption for immune diseases, cytapheresis for hematological disease, and selective detoxification for certain types of poisoning. Central venous catheters are classified into 2 categories according to the duration of use: temporary catheter (less than 90 days) and permanent catheter (more than 90 days). A temporary catheter, including rigid (polyethylene, teflon) and semirigid (polyurethane) material, is indicated in emergency situations and for short-term use. A permanent catheter, made usually of soft silicone rubber with a subcutaneous anchoring system, has a subcutaneous tunnel and is indicated in medium and long-term use. Catheter design has benefited greatly from technical advances and material hemocompatability. However, catheter-related morbidity still remains high and is associated with an unacceptable incidence rate of infection and/or vein thrombosis. This article covers our present knowledge regarding catheter indications, technical aspects of catheter insertion and care, functional limitation of central venous catheters, and catheter-related complications. It is also our intent to provide the reader with optimal indication and catheter care in order to prevent and reduce the burden of catheter-related morbidity.

show abstract

“…of permanent hemodialysis catheters is now an accepted procedure, especially in patients in whom attempted bedside or surgical placement has failed [1]. Dialysis catheters have two lumens, a proximal ("arterial") lumen, which is used to draw blood into the dialysis machine;…”

Section: Radiologic Placementmentioning

confidence: 99%