Pitfall in Pediatric Dialysis: Malposition of a Dialysis Catheter Mimicking Azygos Continuation Syndrome

2007 ◽  
Vol 8 (4) ◽  
pp. 302-304 ◽  
Author(s):  
A.W. Demant ◽  
H. Rattunde ◽  
S. Abderhalden ◽  
R. Von Vigier ◽  
R.W. Wolf
Keyword(s):  
Vascular Access ◽  
Dialysis Patient ◽  
Azygos Vein ◽  
Central Venous Catheters ◽  
Dialysis Catheter ◽  
Central Venous ◽  
Pediatric Dialysis ◽  
Vein System ◽  
Azygos Continuation ◽  
Catheter Malposition

Central venous catheters are established as vascular access in hemodialysis therapy. Vascular catheter misdirection may occur and is a well known problem. We present a rare catheter malposition in a young dialysis patient with consequent dilatation of the azygos vein system, simulating the appearance of an azygos continuation syndrome (ACS).

Minimally Invasive Repair of Azygos Catheter Migration

2018 ◽  
Author(s):  
Mikin V. Patel ◽  
Steven Zangan
Keyword(s):  
Minimally Invasive ◽  
Surgical Intervention ◽  
Azygos Vein ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Catheter Migration ◽  
Catheter Malfunction ◽  
Catheter Tip ◽  
Catheter Malposition ◽  
Multiple Conditions

Central venous catheters are frequently placed to facilitate the care of patients with multiple conditions, often via jugular approach. Occasionally, the catheter tip can migrate after placement and become positioned within the azygos arch. This abnormal catheter positioning can lead to an increased number of complications, including catheter malfunction, thrombosis, or even rupture of the azygos vein requiring surgical intervention. Although invasive repositioning of the catheter is always an option, minimally invasive options can be attempted to repair azygos catheter malposition. Fortunately, noninvasive maneuvers, including manipulation of the port on the skin and patient breathing instructions, can sometimes repair the malpositioned catheter.

Optimizing vascular-access device decision-making in the era of midline catheters

2019 ◽  
Vol 40 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Kelly A. Cawcutt ◽  
Richard J. Hankins ◽  
Teresa A. Micheels ◽  
Mark E. Rupp
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Vascular Access ◽  
Central Venous Catheters ◽  
Narrative Review ◽  
Central Venous ◽  
Access Device ◽  
Vascular Access Device ◽  
Intravenous Catheters

AbstractThis narrative review addresses vascular access device choice from peripheral intravenous catheters through central venous catheters, including the evolving use of midline catheters. The review incorporates best practices, published algorithms, and complications extending beyond CLABSI and phlebitis to assist clinicians in navigating complex vascular access decisions.

Vascular access via translumbar Hemodialysis Reliable Outflow dialysis catheter in a case of severe central venous occlusion

2018 ◽  
Vol 19 (4) ◽  
pp. 410-411 ◽  
Author(s):  
Anatoly Loskutov ◽  
Atman Dave ◽  
Christie Gooden ◽  
Nathan A Saucier ◽  
Kenneth H Cho ◽  
...  
Keyword(s):  
Vascular Access ◽  
Venous Occlusion ◽  
Dialysis Catheter ◽  
Central Venous ◽  
Central Venous Occlusion

Improved Vascular Access for Patients Receiving Chemotherapy

1983 ◽  
Vol 28 (2) ◽  
pp. 138-140 ◽  
Author(s):  
C. Porteous ◽  
J. Welsh ◽  
Aileen Keel ◽  
Joanne C. Willox ◽  
H. J. G. Burns
Keyword(s):  
Parenteral Nutrition ◽  
Vascular Access ◽  
Complication Rate ◽  
Chemotherapeutic Agents ◽  
Central Venous Catheters ◽  
Blood Products ◽  
Central Venous ◽  
Oncology Patients ◽  
Venous Cannula

Indwelling central venous catheters were used for vascular access in 25 oncology patients, The lines were used for sampling, administration of blood products, chemotherapeutic agents, parenteral nutrients and occasionally plasmapheresis. The complication rate was no higher than in reported series in which the catheters were reserved for parenteral nutrition. We believe that a central venous cannula can be safely used as the sole means of vascular access in those patients with consequent psychological and practical benefits.

scholarly journals Using Cuffed and Tunnelled Central Venous Catheters as Permanent Vascular Access for Hemodialysis: A Prospective Study

Renal Failure ◽  
2003 ◽  
Vol 25 (3) ◽  
pp. 431-438 ◽  
Author(s):  
Ramazan Cetinkaya ◽  
Ali Riza Odabas ◽  
Yahya Unlu ◽  
Yilmaz Selcuk ◽  
Azman Ates ◽  
...  
Keyword(s):  
Prospective Study ◽  
Vascular Access ◽  
Central Venous Catheters ◽  
Central Venous ◽  
A Prospective Study

321 CENTRAL VENOUS CATHETERS ARE VASCULAR ACCESS ABLE TO DELIVER ADEQUATE DIALYSIS DOSE.

2004 ◽  
Vol 52 (Suppl 1) ◽  
pp. S135.4-S135
Author(s):  
F. Tentori ◽  
S. Paine ◽  
C. Stidley ◽  
R. Brown ◽  
P. Zager
Keyword(s):  
Vascular Access ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Dialysis Dose

Vascular Access Placement Order and Outcomes in Hemodialysis Patients: A Longitudinal Study

2017 ◽  
Vol 46 (4) ◽  
pp. 268-275 ◽  
Author(s):  
Mariana Murea ◽  
W. Mark Brown ◽  
Jasmin Divers ◽  
Shahriar Moossavi ◽  
Todd W. Robinson ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Vascular Access ◽  
Conversion Rate ◽  
Hemodialysis Patients ◽  
Central Venous Catheters ◽  
Failure Rates ◽  
Transition Rates ◽  
Central Venous ◽  
Av Fistulas

Background: Arteriovenous accesses (AVA) in patients performing hemodialysis (HD) are labeled “permanent” for AV fistulas (AVF) or grafts (AVG) and “temporary” for tunneled central venous catheters (TCVC). Durability and outcomes of permanent vascular accesses based on the sequence in which they were placed or used receives little attention. This study analyzed longitudinal transitions between TCVC-based and AVA-based HD outcomes according to the order of placement. Methods: All 391 patients initiating chronic HD via a TCVC between 2012 and 2013 at 12 outpatient academic dialysis units were included in this study. Chronological distributions of HD vascular accesses were recorded over a mean (SD) of 2.8 (0.9) years and sequentially grouped into periods for TCVC-delivered and AVA-delivered (AVF or AVG) HD. Primary AVA failure and cumulative access survival were evaluated based on access placement sequence and type, adjusting for age. Results: In total, 92.3% (361/391) of patients underwent 497 AVA placement surgeries. Analyzing the initial 3 surgeries, primary AVF failure rates increased with each successive fistula placement (p = 0.008). Among the 82.9% (324/391) of TCVC patients successfully converted to an AVA, 30.9% returned to a TCVC, followed by a 58.0% conversion rate to another AVA. Annual per-patient vascular access transition rates were 2.02 (0.09) HD periods using a TCVC and 0.54 (0.03) HD periods using an AVA. Comparing the first AVA used with the second, cumulative access survivals were 701.0 (370.0) vs. 426.5 (275.0) days, respectively. Excluding those never converting to an AVF or AVG, 169 (52.2%) subsequently converted from a TCVC to a permanent access and received HD via AVA for ≥80% of treatments. Conclusions: HD vascular access outcomes differ based on the sequence of placement. In spite of frequent AVA placements, only half of patients effectively achieved a “permanent” vascular access and used an AVA for the majority of HD treatments.

KHA-CARI Guideline: Vascular access - central venous catheters, arteriovenous fistulae and arteriovenous grafts

Nephrology ◽  
2013 ◽  
Vol 18 (11) ◽  
pp. 701-705 ◽  
Author(s):  
Kevan R Polkinghorne ◽  
George K Chin ◽  
Rob J MacGinley ◽  
Andrew R Owen ◽  
Christine Russell ◽  
...  
Keyword(s):  
Vascular Access ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Arteriovenous Fistulae ◽  
Arteriovenous Grafts

Blood Flowrate and Dialysis Adequacy in Patients with Permanent Central Venous Catheters

2000 ◽  
Vol 1 (2) ◽  
pp. 46-50 ◽  
Author(s):  
S. Mandolfo ◽  
F. Galli ◽  
V. Piazza ◽  
E. Imbasciati
Keyword(s):  
Vascular Access ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
Dialysis Adequacy ◽  
Number Of Patients ◽  
Vascular Beds ◽  
Access Efficiency ◽  
Dialytic Treatment

Vascular access efficiency is a major determinant of an adequate dialytic treatment and reports from literature indicates a growing interest in the field of central venous catheterisation as permanent vascular access for hemodialysis. The main reasons are the continuous improvement in design and biomaterials along with the increased number of patients with failure of their vascular beds. In this paper it is presented and commented a series of negative crucial factors which can reduce the quality of the hemodialysis treatment: the problem of recirculation and the catheter related (and the patient related) causes of inadequate flowrate. Finally the Authors conclude with a short presentation of their clinical experience in the field.

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