scholarly journals Ultrasound evaluation of dialysis access-related distal ischaemia

2021 ◽  
pp. 112972982093242
Author(s):  
N Pirozzi ◽  
L De Alexandris ◽  
J Scrivano ◽  
L Fazzari ◽  
J Malik
Keyword(s):  
Differential Diagnosis ◽  
Ultrasound Examination ◽  
Preoperative Evaluation ◽  
Signs And Symptoms ◽  
Central Vein ◽  
Dialysis Access ◽  
Needed Information ◽  
Vein Catheter ◽  
Ultrasound Evaluation ◽  
Central Vein Catheter

Dialysis access-related distal ischaemia is a rare yet potentially rather risky complication of haemodialysis angioaccess. Timely diagnosis is crucial to target both the goals of the access team: first of all to preserve the function of the hand ideally along with angioaccess patency. Unfortunately for some patients, urgent access ligation and central vein catheter insertion would be needed to save the hand. After a first clinical examination to determine the diagnostic suspicion, the ultrasound evaluation would provide nearly all the needed information to confirm the diagnosis and to determine the most appropriate procedure to rescue the patient from distal ischaemia. In some cases, photoplethysmography would help in the differential diagnosis of other non-ischaemic causes of similar signs and symptoms. Angiography would complete the preoperative evaluation for some. Dialysis access-related distal ischaemia would be briefly reviewed, and a deep description of the ultrasound examination tools and findings would be provided for a tailored therapeutic approach.

scholarly journals 1630 Central Vein Catheter and Bloodstream Infection in a PICU: Clabsi or Crbsi?

2012 ◽  
Vol 97 (Suppl 2) ◽  
pp. A461-A461
Author(s):  
E. Volakli ◽  
S. Stabouli ◽  
L. Vogiatzi ◽  
A. Tsolaki ◽  
K. Skoumis ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Central Vein ◽  
Vein Catheter ◽  
Central Vein Catheter

THE IMPACT OF IATROGENIC EMBOLISATION AND ENDOVASCULAR REMOVAL OF A FRACTURED CENTRAL VEIN CATHETER ON THE HEALTH RELATED QUALITY OF LIFE (HRQOL)

2019 ◽  
Vol 17 (1) ◽  
pp. 1-7
Author(s):  
Tomasz Muszyński ◽  
Karina Polak ◽  
Marek Tomala ◽  
Paweł Iwaszczuk ◽  
Tomasz Kwiatkowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Right Ventricle ◽  
Central Vein ◽  
Health Related Quality ◽  
Vein Catheter ◽  
Related Quality ◽  
Health Related ◽  
Central Vein Catheter ◽  
The Right

Iatrogenic embolisation of the right ventricle of the heart by a fragment of one of the most basic ICU devices, which has fractured and detached the central vein catheter, is rarely described in subject literature. Removing such an element from the heart is highly risky and requires the use of very modern techniques and equipment. The Atrieve Vascular Snare™ was employed in the described patient. Therefore, it is necessary to present this process and its effectiveness through an evaluation of the health related quality of life (HRQoL) associated with the perception of health status by those patients. This is a requirement in modern medicine. The main aim of this paper was to evaluate the HRQoL after this embolisation. A 67-year-old patient was referred to the Vascular Surgery Department with Endovascular Interventions Ward, John Paul II Hospital in Kraków, after the defragmenting of the central vein catheter and replacement to the right ventricle of the heart. An endovascular approach through the right common femoral vein (RCFV) under local anesthesia of the groin was chosen as the preferred method for removing the broken catheter fragment. The right ventricle of the heart was reached using a 18-30mm Atrieve Vascular Snare™. A structure consisting of three loops facilitated the quick grasp and removal of the catheter fragment at the first attempt through the RCFV. Despite the short time needed for the procedure, the patient experienced periprocedural ventricular fibrillation (VF) with the necessity of defibrillation. After one successful defibrillation attempt, sinus rhythm was restored. The post-operative course showed no complications whatsoever, and the patient was sent to the General Surgery Ward in order for a new Hickman catheter to be implemented and further parenteral nutrition treatment to be carried out. The endovascular technique with the use of Atrieve Vascular Snare™ is an effective method which was used in the case of our patient under local anesthesia. It provides for the fast, safe and convenient removal of a disrupted and dislocated catheter fragment. It allows one to improve the patient’s HRQoL not only in the short term, but also in the longitudinal (6 months after surgery) follow up.

Incidence of ultrasound-detected asymptomatic long-term central vein catheter-related thrombosis and fibrin sheath in cancer patients

2015 ◽  
Vol 95 (5) ◽  
pp. 472-479 ◽  
Author(s):  
Maria Boddi ◽  
Gianluca Villa ◽  
Marco Chiostri ◽  
Francesco De Antoniis ◽  
Ilaria De Fanti ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Central Vein ◽  
Vein Catheter ◽  
Fibrin Sheath ◽  
Central Vein Catheter ◽  
Catheter Related Thrombosis
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