Document Detail

Percutaneous replacement of a right jugular dialysis catheter via a stenosed superior vena cava.
MedLine Citation:
PMID:  16760556     Owner:  NLM     Status:  MEDLINE    
A female patient with end-stage renal failure, who was maintained on haemodialysis via multiple central dialysis catheters, developed chronic occlusion of the left brachiocephalic vein. Subsequently, the right jugular dual lumen PermCath became dysfunctional because of marked superior vena cava stenosis. Angioplasty of the superior vena cava stenosis was performed but failed to restore adequate catheter function. The patient was referred for possible salvage of her central venous access and re-insertion of a new PermCath. During surgery, the right jugular PermCath was removed, the superior vena cava was stented to establish venous patency, and a new PermCath was re-inserted via the existing right jugular puncture site. The technique helps reduce cost and time, and avoids another jugular puncture. In addition, this procedure saves a central venous access which is important in patients on long-term haemodialysis.
K Y Lau; J K W Chan; W W C Wong; S H K Lo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  12     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-08     Completed Date:  2007-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  235-8     Citation Subset:  IM    
Department of Radiology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong.
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MeSH Terms
Angiography, Digital Subtraction
Angioplasty, Balloon*
Catheterization, Central Venous
Catheters, Indwelling / adverse effects*
Constriction, Pathologic / radiography
Device Removal
Equipment Failure
Jugular Veins / radiography
Kidney Failure, Chronic / therapy*
Renal Dialysis / instrumentation*
Superior Vena Cava Syndrome / radiography,  therapy*

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

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