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Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access
BACKGROUND/AIM: This study aims to describe the technical success of the micropuncture technique, which is performed in placement of tunneled hemodialysis catheters in patients with central venous occlusion and limited access. MATERIALS AND METHODS: A total of 25 patients with central venous occlusi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Scientific and Technological Research Council of Turkey
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991868/ https://www.ncbi.nlm.nih.gov/pubmed/32892538 http://dx.doi.org/10.3906/sag-2006-11 |
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author | BİRGİ, Erdem DURMAZ, Hasanali |
author_facet | BİRGİ, Erdem DURMAZ, Hasanali |
author_sort | BİRGİ, Erdem |
collection | PubMed |
description | BACKGROUND/AIM: This study aims to describe the technical success of the micropuncture technique, which is performed in placement of tunneled hemodialysis catheters in patients with central venous occlusion and limited access. MATERIALS AND METHODS: A total of 25 patients with central venous occlusion and in need of catheter placement for hemodialysis between 2012 and 2018 were included in this study and analyzed retrospectively. Technical success was defined as the placement of tunneled dialysis catheters with optimal position and function. RESULTS: Internal jugular vein access in 16 patients (14 right and 2 left) and right subclavian vein access in 3 patients were successfully performed in placement of the tunneled dialysis catheter. Although internal jugular and subclavian vein access was attempted bilaterally, the procedure failed in 6 patients. The overall technical success of recanalization of the occluded central veins was 76% (19/25). No minor or major complications were encountered. CONCLUSION: Tunneled dialysis catheter placement through the occluded internal jugular and subclavian veins with the micropuncture technique is effective and safe in patients with limited vascular access. The recanalization of the occluded conventional access routes should always be kept in mind to allow for the preservation of vascular accesses for future requirements. |
format | Online Article Text |
id | pubmed-7991868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Scientific and Technological Research Council of Turkey |
record_format | MEDLINE/PubMed |
spelling | pubmed-79918682021-03-30 Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access BİRGİ, Erdem DURMAZ, Hasanali Turk J Med Sci Article BACKGROUND/AIM: This study aims to describe the technical success of the micropuncture technique, which is performed in placement of tunneled hemodialysis catheters in patients with central venous occlusion and limited access. MATERIALS AND METHODS: A total of 25 patients with central venous occlusion and in need of catheter placement for hemodialysis between 2012 and 2018 were included in this study and analyzed retrospectively. Technical success was defined as the placement of tunneled dialysis catheters with optimal position and function. RESULTS: Internal jugular vein access in 16 patients (14 right and 2 left) and right subclavian vein access in 3 patients were successfully performed in placement of the tunneled dialysis catheter. Although internal jugular and subclavian vein access was attempted bilaterally, the procedure failed in 6 patients. The overall technical success of recanalization of the occluded central veins was 76% (19/25). No minor or major complications were encountered. CONCLUSION: Tunneled dialysis catheter placement through the occluded internal jugular and subclavian veins with the micropuncture technique is effective and safe in patients with limited vascular access. The recanalization of the occluded conventional access routes should always be kept in mind to allow for the preservation of vascular accesses for future requirements. The Scientific and Technological Research Council of Turkey 2021-02-26 /pmc/articles/PMC7991868/ /pubmed/32892538 http://dx.doi.org/10.3906/sag-2006-11 Text en Copyright © 2021 The Author(s) This article is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Article BİRGİ, Erdem DURMAZ, Hasanali Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title | Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title_full | Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title_fullStr | Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title_full_unstemmed | Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title_short | Placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
title_sort | placement of hemodialysis catheters with the help of the micropuncture technique in patients with central venous occlusion and limited access |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991868/ https://www.ncbi.nlm.nih.gov/pubmed/32892538 http://dx.doi.org/10.3906/sag-2006-11 |
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