CT-Guided Superior Vena Cava Puncture: A Solution to Re-Establishing Access in Haemodialysis-Related Central Venous Occlusion Refractory to Conventional Endovascular Techniques
| العنوان: | CT-Guided Superior Vena Cava Puncture: A Solution to Re-Establishing Access in Haemodialysis-Related Central Venous Occlusion Refractory to Conventional Endovascular Techniques |
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| المؤلفون: | Mohamed Khalifa, Steven Moser, Neeral R. Patel |
| المصدر: | CardioVascular and Interventional Radiology. 39:611-615 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Catheterization, Central Venous, medicine.medical_specialty, Vena Cava, Superior, Percutaneous, medicine.medical_treatment, Constriction, Pathologic, Punctures, 030204 cardiovascular system & hematology, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, Catheters, Indwelling, 0302 clinical medicine, Refractory, Renal Dialysis, Superior vena cava, Angioplasty, medicine, Humans, Radiology, Nuclear Medicine and imaging, Aged, medicine.diagnostic_test, Venous occlusion, business.industry, Endovascular Procedures, Interventional radiology, Middle Aged, Venous Obstruction, Surgery, Catheter, Venous Insufficiency, Kidney Failure, Chronic, Female, Radiology, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business |
| الوصف: | The purpose of this technical note is to demonstrate the novel use of CT-guided superior vena cava (SVC) puncture and subsequent tunnelled haemodialysis (HD) line placement in end-stage renal failure (ESRF) patients with central venous obstruction refractory to conventional percutaneous venoplasty (PTV) and wire transgression, thereby allowing resumption of HD. Three successive ESRF patients underwent CT-guided SVC puncture with subsequent tract recanalisation. Ultrasound-guided puncture of the right internal jugular vein was performed, the needle advanced to the patent SVC under CT guidance, with subsequent insertion of a stabilisation guidewire. Following appropriate tract angioplasty, twin-tunnelled HD catheters were inserted and HD resumed. No immediate complications were identified. There was resumption of HD in all three patients with a 100 % success rate. One patient’s HD catheter remained in use for 2 years post-procedure, and another remains functional 1 year to the present day. One patient died 2 weeks after the procedure due to pancreatitis-related abdominal sepsis unrelated to the Tesio lines. CT-guided SVC puncture and tunnelled HD line insertion in HD-related central venous occlusion (CVO) refractory to conventional recanalisation options can be performed safely, requires no extra equipment and lies within the skill set and resources of most interventional radiology departments involved in the management of HD patients. |
| تدمد: | 1432-086X 0174-1551 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9c923b0ac8509eef8801c0d4397b3e37Test https://doi.org/10.1007/s00270-015-1225-xTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....9c923b0ac8509eef8801c0d4397b3e37 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1432086X 01741551 |
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