Translumbar catheterization of the inferior vena cava as an emergency IV access

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#IVTEAM #Intravenous literature: Kade, G., Les, J., Buczkowska, M., Labus, M., Niemczyk, S. and Wankowicz, Z. (2013) Percutaneous translumbar catheterization of the inferior vena cava as an emergency access for hemodialysis – 5 years of experience. The Journal of Vascular Access. 4th November. [epub ahead of print].

Abstract:

Patients and methods: In this study, 13 patients (11 men and 2 women) undergoing hemodialysis (HD) with the use of a catheter placed into the inferior vena cava with percutaneous translumbar access were retrospectively evaluated. In the studied group, 16 procedures of percutaneous translumbar catheterization were performed. Complications connected with the presence of catheter, such as hematoma, thrombosis, infection, catheter movement or unsuccessful catheterization, were analyzed. Moreover, another aspect of our report was to evaluate the adequacy of HD treatment performed by lumbar catheter.

Results: The total time of translumbar catheter observation was 4,169 days. Average time of their functioning was 261 days. The most frequent reason for termination of the use of translumbar HD catheters was spontaneous/idiopathic removal – 2 cases. Episodes of infection and thrombosis per 1,000 days of catheter observation were 2.2 and 1.2, respectively.

Conclusions: Based on our study, we can conclude that correctly performed percutaneous translumbar catheterization of the inferior vena cava, in order to produce a long-term vascular access for HD, is a valuable and safe method in patients after depletion of standard vascular accesses.

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