Hemodialysis catheter placement and recirculation in treatment of hyperammonemia

被引：0

作者：

Abhay Vats

Clifford E. Kashtan

Mendel Tuchman

Michael Mauer

机构：

[1] Department of Pediatrics,

[2] University of Minnesota,undefined

[3] Minneapolis,undefined

[4] Minnesota 55455,undefined

[5] USA,undefined

来源：

Pediatric Nephrology | 1998年 / 12卷

关键词：

Key words: Hyperammonemia; Carbamoyl phosphate synthetase deficiency; Hemodialysis; Recirculation; Clearance;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

A 2-year-old girl with carbamoyl phosphate synthetase deficiency underwent emergency hemodialysis (HD) for treatment of acute life-threatening hyperammonemia. HD was performed via catheters placed in each femoral vein serving as vascular access. The tip of one of the catheters (aspirating line) was in the left external iliac vein and the tip of the other catheter (the return line) was in the inferior vena cava (IVC). High blood flow rates were used in order to rapidly lower the blood ammonia (NH3) levels. However, unanticipated marked recirculation in the IVC, between the dialysis aspirating and return catheters, was encountered, preventing significant reduction in blood NH3. The recognition of this problem, suggested solutions, and prevention are described.

引用

页码：592 / 595

页数：3