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CardioVascular and Interventional Radiology

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01-06-2010 | Case Report

Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion

Authors: Jonathan M. Lorenz, Sidney Regalado, Rakesh Navuluri, Steven Zangan, Thuong VanHa, Brian Funaki

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

Abstract

When patients with end-stage renal disease have exhausted both conventional and unconventional venous access options, creative solutions must be sought for hemodialysis catheter placement in order to ensure survival. This case describes a patient in urgent need of a dialysis catheter despite total occlusion of the jugular, subclavian, and femoral veins. Occlusion of the inferior vena cava (IVC) and right renal vein resulted in failed attempts at translumbar catheter placement. A gooseneck snare was temporarily advanced through the liver to the IVC for use as a fluoroscopic target to facilitate successful single-puncture, translumbar catheterization.

Rajan DK, Croteau DL, Sturza SG, Harvill ML, Mehall CJ (1998) Translumbar placement of inferior vena caval catheters: a solution for challenging hemodialysis access. Radiographics 18(5):1155–1167PubMed

Biswal R, Nosher JL, Siegel RL, Bodner LJ (2003) Translumbar placement of paired hemodialysis catheters (Tesio catheters) and follow-up in 10 patients). Cardiovasc Interv Radiol 23(1):75–78CrossRef

Lund GB, Trerotola SO, Scheel PJ Jr (1995) Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 25(5):732–737CrossRefPubMed

Kinney TB (2003) Translumbar high inferior vena cava access placement in patients with thrombosed inferior vena cava filters. J Vasc Interv Radiol 14(12):1563–1568PubMed

Murthy R, Arbabzadeh M, Lund G, Richard H 3rd, Levitin A, Stainken B (2002) Percutaneous transrenal hemodialysis catheter insertion. J Vasc Interv Radiol 13(10):1043–1046CrossRefPubMed

Smith TP, Ryan JM, Reddan DN (2004) Transhepatic catheter access for hemodialysis. Radiology 232(1):246–251CrossRefPubMed

Stavropoulos SW, Pan JJ, Clark TW, Soulen MC, Shlansky-Goldberg RD, Itkin M, Trerotola SO (2003) Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol 14(9 Pt 1):1187–1190PubMed

Schmiege LM 3rd, Wolf DA (2006) A case of fatal cardiac tamponade during hemodialysis. Semin Dial 19(5):434–437CrossRefPubMed

Title: Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion
Authors: Jonathan M. Lorenz
Sidney Regalado
Rakesh Navuluri
Steven Zangan
Thuong VanHa
Brian Funaki
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9660-1

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Springer Medicine

Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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