Document Detail

Direct peripheral venopuncture: another new choice of temporary vascular access.
MedLine Citation:
PMID:  10843247     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Femoral, subclavian, and internal jugular veins access have been widely used for temporary vascular access for hemodialysis, but their use has been associated with a significant complication rate. We report in three selected hemodialysis patients with the procedure of direct peripheral venopuncture as temporary vascular access to reduce complications. METHODS: We have demonstrated hemodialysis via direct puncture of peripheral veins of the antecubital fossa (cephalic vein in the process of arterial inflow to dialyzer and venous outflow from dialyzer to basilic vein) as temporary vascular access for these patients. RESULTS: Renal function of case 1 and case 2 progress to normal status after several sessions of dialytic therapy as well as quit hemodialysis, and case 3 successfully shifts to peritoneal dialysis following four sessions of dialytic therapy. CONCLUSIONS: We recommend this short-term access contribute a important additional new choice in selected patients with acute, reversible renal failure, obstructive uropathy, initiation of peritoneal dialysis, patients on peritoneal dialysis with peritonitis, or under plasmapheresis therapy.
Y C Chen; J T Fang; C T Chang; M Y Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Renal failure     Volume:  22     ISSN:  0886-022X     ISO Abbreviation:  Ren Fail     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-09-26     Completed Date:  2000-09-26     Revised Date:  2008-05-21    
Medline Journal Info:
Nlm Unique ID:  8701128     Medline TA:  Ren Fail     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  369-77     Citation Subset:  IM    
Department of Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
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MeSH Terms
Catheterization, Peripheral / instrumentation,  methods*
Catheters, Indwelling*
Follow-Up Studies
Kidney Failure, Acute / therapy*
Kidney Function Tests
Middle Aged
Renal Dialysis / methods*
Sensitivity and Specificity
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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