Transhepatic venous catheters for hemodialysis

Gharib, Mohamed El; Niazi, Gamal; Hetta, Waleed M.; Makkeyah, Yahya

doi:10.1016/j.ejrnm.2014.01.008

Cited by 9 publications

(11 citation statements)

References 21 publications

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“…We agree with El Garib et al [12] that exit site infection is the most common complication encountered in both studies. This complication did not necessitate catheter exchange.…”

Section: Discussionsupporting

confidence: 93%

“…In our study, the tip of the hemodialysis catheter was in the right atrium in most cases (80% of cases), and the IVC in 20% of cases. This is coinciding with El Garib et al [12] whose catheter tip was put in the right atrium in 80% of cases, IVC in 16% of cases, and SVC in 4% of cases. Joaquim et al [13] put the catheter tip at the junction between SVC and right atrium in all six cases he performed.…”

Section: Discussionsupporting

confidence: 82%

“…In comparison to previous study done by El Garib et al [12], our study has larger population as well as longer follow-up period. Our study population was much larger 296 patients versus 23 patients in his study.…”

Section: Discussionmentioning

confidence: 63%

“…We prefer the right hepatic vein as a first choice as it is peripheral (near the puncture site) as well as it obtains a horizontal upper part towards the IVC. Joaquim et al [13] uses the right hepatic vein in all cases, also El Garib et al [12] uses either right or middle hepatic veins. In our study, the tip of the hemodialysis catheter was in the right atrium in most cases (80% of cases), and the IVC in 20% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Transhepatic permcath is one of the new and up-todate methods for inferior vena cava (IVC) and right atrium catheterization. It was first described by Po et al in 1994 [4] in one case then was further scrutinized in three retrospective studies comprising 12,16,22, and 38 adult patients in the following years [3,[5][6][7]. So there is only limited experience in using this method with small number of patients involved in different studies.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Percutaneous transhepatic hemodialysis catheters in chronic hemodialysis patients: technique, functional outcome, and complications from a large population study

Khallaf

Tawab

Korashi

et al. 2019

Egypt J Radiol Nucl Med

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Background: Chronic renal failure is one of the main health problems in Egypt. Arterio-venous fistulas, grafts, as well as conventional sites for placement of the dialysis catheters are liable to thrombosis; stenosis, and occlusions, so alternative routes are considered as life-saving ways in such cases. Transhepatic permcath is one of the new and up to date methods for inferior vena cava and right atrium catheterization. Few studies with rather limited nomber are available to evaluate transhepatic permcath. The aim of our study is to emphasize the technique, complications, and efficacy of application of percutaneous transhepatic hemodialysis catheters. Results: Two hundred-ninety six chronic renal dialysis patients were included in this prospective interventional study. They include 180 males and 116 females with mean age of 53.2 years ± 11.7 years ranging from 38 to 65 years. Percutaneous transhepatic hemodialysis catheters were inserted for all patients. Technical success of the procedure was achieved in all cases (100%). Post-procedure patency and function of the catheters were followed up with mean follow-up period 750 days. Mean of primary and secondary devices service intervals were 290 and 270 days respectively. Mean time catheter in situ was 280 days. Mean cumulative duration of catheter in situ was 557 days. Catheters migration, sepsis, thrombosis, and exit site infection rates were 0.14, 0.15, 0.18, and 0.32 per 100 catheter-days respectively. Three patients had hepatic subcapsular hematoma (1%). No mortality or other complications were related to the procedure. Conclusions: Combined ultrasound and fluoroscopic-guided transhepatic permanent dialysis catheter application for patients with exhausted classic venous access routes and non-functioning/thrombosed AV fistulas or grafts showed excellent technical success with good short and mid-term patency rates and low complications rates. Thus, this study encourages us to expand this promising technique for application of dialysis catheter in indicated cases.

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“…We agree with El Garib et al [12] that exit site infection is the most common complication encountered in both studies. This complication did not necessitate catheter exchange.…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%