Displacement of the inferior vena cava as a factor limiting catheter performance in long-term hemodialysis patients

被引：0

作者：

Fabbian, F. ^{[1
]}

Malacarne, F. ^{[1
]}

Russo, G. ^{[1
]}

Galeotti, R. ^{[2
]}

Gresta, E. ^{[2
]}

Cantelli, S. ^{[1
]}

Catizone, L. ^{[1
]}

机构：

[1] St Anna Hosp, Renal Unit, I-44100 Ferrara, Italy

[2] St Anna Hosp, Dept Surg Anesthesia & Radiol, I-44100 Ferrara, Italy

来源：

JOURNAL OF VASCULAR ACCESS | 2007年 / 8卷 / 02期

关键词：

vascular access; central venous catheter; cuffed catheter; hemodialysis; polycystic kidney disease;

D O I：

10.1177/112972980700800213

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

We report a case of a lady affected by autosomal dominat polycystic kidney disease who had been on hemodialyis for 24 years. She has exhausted all options for arterious-venous fistula. The presence of an acquired anatomical abnormality was an obstacle in order to get appropriate blood flow from standard tunnelled femoral catheters. The enlarged right kidney was pushing the inferior vena cava. to the left side of the abdomen, and the abnormality was demonstrated by phlebography, Only after placing a cuffed catheter 53 cm long in her left femoral vein we could dialyze efficiently. Venography is mandatory before placing a cuffed catheter especially in uremic patients with long history of access failure, because it saves costs.

引用

页码：129 / 130

页数：2

共 5 条

[1]

[Anonymous], 2001, AM J KIDNEY DIS, V37, pS137, DOI DOI 10.1016/S0272-6386(01)70007-8

[2] Lower extremity deep vein thrombosis: A prospective, randomized, controlled trial ill comatose or sedated patients undergoing femoral vein catheterization [J].