Radiologic Placement of Tunneled Hemodialysis Catheters in Occluded Neck, Chest, or Small Thyrocervical Collateral Veins in Central Venous Occlusion

Funaki, Brian; Zaleski, George X.; Leef, Jeffrey A.; Lorenz, Jonathan N.; Ha, Thuong Van; Rosenblum, Jordan D.

doi:10.1148/radiology.218.2.r01fe29471

Cited by 50 publications

(28 citation statements)

References 8 publications

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“…Using a guidewire as a linear target for puncture is riskier than the J-target method because the tip of the guidewire is not always located in the center of the vascular lumen. A loop snare or catheter may also be useful as a target for the puncture [24]. But we prefer the J-target method because the loop snare is more expensive than the J-tipped guidewire, and the J-tipped guidewire is easy to be seen on fluoroscopy and easy to retrieve after the puncture.…”

Section: Resultsmentioning

confidence: 99%

J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

2004

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The aim of this study was to verify the feasibility of using a J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system (RPCS). Twenty-five patients with various hepatic malignancies underwent percutaneous implantation of an RPCS through the left subclavian artery for regional chemotherapy. To successfully puncture the left subclavian artery, a J-tipped guidewire was used as a target with fluoroscopic guidance. Technical success and complication rates, and numbers of puncture failures, were retrospectively analyzed. Implantation of the RPCS was successful in all patients. Eight (32%) patients had minor complications and no patient had major complications. The number of puncture failures per patient was 0 to 1 (mean=0.32). The J-tipped guidewire is a safe and appropriate target for puncture of the subclavian artery in the placement of an RPCS.

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Section: Resultsmentioning

confidence: 99%

J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

2004

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“…In patients with exhaustion of conventional vascular accesses, who are not candidates to peritoneal dialysis (PD) or renal transplantation, or that are awaiting the latter, the placement of intravascular catheters in nontraditional locations [1][2][3][4] has allowed these patients to remain alive and on HD. In our center, intra-atrial catheter (IAC) placement has emerged as a life-saving option in these situations.…”

Section: Introductionmentioning

confidence: 99%

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

Pereira

López

Godinho

et al. 2017

Jornal Brasileiro De Nefrologia

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“…However, the incidence of infection is higher with HCs in the inferior vena cava, due to the femoral access in the groin [5,6]. An alternative option is to use the occluded route for HC placement to avoid potential consequences of venous obstruction after HC placement [7][8][9][10]. We report our experience with CTV recannalization in asymptomatic patients in order to place a HC.…”

Section: Introductionmentioning

confidence: 99%

Placement of Hemodialysis Catheters Through Stenotic or Occluded Central Thoracic Veins

Haller

Déglise

Saucy

et al. 2009

Cardiovasc Intervent Radiol

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A method for hemodialysis catheter placement in patients with central thoracic venous stenosis or occlusion is described and initial results are analyzed. Twelve patients, with a mean age of 63.2 years (42-80 years), with central venous stenosis or occlusion, and who required a hemodialysis catheter were reviewed. All lesions were confirmed by helical CT or phlebography. Five patients had stenosis while seven patients were diagnosed with an occlusion of thoracic central veins. All patients were asymptomatic, without sign of superior vena cava syndrome. After percutaneous transstenotic catheterization or guidewire-based recannalization in occlusions, a balloon dilatation was performed and a stent was placed, when necessary, prior to catheter placement. Technical success was 92%. Three patients had angioplasty alone and nine patients had angioplasty with stent placement. Dialysis catheters were successfully inserted through all recannalized accesses. No immediate complication occurred, nor did any patient develop superior vena cava syndrome after the procedure. The mean follow-up was 21.8 months (range, 8-48 months). Three patients developed a catheter dysfunction with fibrin sheath formation (at 7, 11, and 12 months after catheter placement, respectively). Two were successfully managed by percutaneous endovascular approach and one catheter was removed. In conclusion, for patients with central venous stenosis or occlusion and those who need a hemodialysis catheter, catheter insertion can be reliably achieved immediately after endovascular recannalization with acceptable technical and long-term success rates. This technique should be considered as an alternative procedure for placing a new hemodialysis catheter through a patent vein.

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Radiologic Placement of Tunneled Hemodialysis Catheters in Occluded Neck, Chest, or Small Thyrocervical Collateral Veins in Central Venous Occlusion

Cited by 50 publications

References 8 publications

J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis

Placement of Hemodialysis Catheters Through Stenotic or Occluded Central Thoracic Veins

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