Document Detail

Translumbar placement of inferior vena caval catheters: a solution for challenging hemodialysis access.
MedLine Citation:
PMID:  9747613     Owner:  NLM     Status:  MEDLINE    
Access to the central venous circulation for hemodialysis has traditionally been achieved via the subclavian or jugular venous routes. With ongoing improvements in medical management, many hemodialysis recipients develop exhaustion of these routes and require alternative means of central venous access. Inferior vena caval (IVC) catheters have been placed with a percutaneous translumbar approach to allow central venous access for chemotherapy, harvesting of stem cells, and total parenteral nutrition. Translumbar placement of IVC catheters has become accepted by some as a useful and reliable alternative in patients who require long-term hemodialysis but have exhausted traditional access sites. IVC catheters have been placed in patients with IVC filters, and IVC filters have been placed in patients with IVC catheters. Complications include those associated with central venous catheters, for example, sepsis, fibrin sheaths, and thrombosis. A complication specific to placement of IVC hemodialysis catheters is migration of the catheter into the subcutaneous soft tissues, retroperitoneum, or iliac veins. Translumbar placement of IVC catheters is performed only in patients considered to have few or no other medical options and is not intended as a primary means of central venous access.
D K Rajan; D L Croteau; S G Sturza; M L Harvill; C J Mehall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  18     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:    1998 Sep-Oct
Date Detail:
Created Date:  1998-12-07     Completed Date:  1998-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1155-67; discussion 1167-70     Citation Subset:  IM    
Department of Radiology, Wayne State University School of Medicine and Harper Hospital, Detroit, Mich, USA.
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MeSH Terms
Catheterization, Central Venous / methods*
Kidney Failure, Chronic / therapy
Renal Dialysis*
Vena Cava Filters
Vena Cava, Inferior* / radiography

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