Rare cause of failure of central venous catheter insertion in a patient with end stage renal disease-septum in internal jugular vein

Objectives: To determine the vascular access modalities used for hemodialysis, the reasons for choosing them, and determinants of satisfaction with vascular access among patients with end-stage renal disease. Methods: The American Association of Kidney Patients Center for Patient Research and Education used the American Association of Kidney Patients patient engagement database to identify eligible adult hemodialysis patients. Participants completed an online survey consisting of 34 demographic, medical history, and hemodialysis history questions to determine which vascular access modalities were preferred and the reasons for these preferences. Results: Among 150 respondents (mean age 54 years, 53% females), hemodialysis was most frequently initiated with central venous catheter (64%) while the most common currently used vascular access was arteriovenous fistula (66%). Most (86%) patients previously received an arteriovenous fistula, among whom 77% currently used the arteriovenous fistula for vascular access. Older patients and males were more likely to initiate hemodialysis with an arteriovenous fistula. The factors most frequently reported as important in influencing the selection of vascular access modality included infection risk (87%), physician recommendation (84%), vascular access durability (78%), risk of complications involving surgery (76%), and impact on daily activities (73%); these factors were influenced by patient age, sex, and race. Satisfaction with current vascular access was 90% with arteriovenous fistula, 79% with arteriovenous graft, and 67% with central venous catheter. Conclusion: Most end-stage renal disease patients continue to initiate hemodialysis with central venous catheter despite being associated with the lowest satisfaction rates. While arteriovenous fistula was associated with the highest satisfaction rate, there are significant barriers to adoption that vary based on patient demographics and perception of procedure invasiveness.

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Central venous catheter-related venous thrombosis in children with end-stage renal disease undergoing hemodialysis

Thrombosis Research ◽

10.1016/j.thromres.2018.10.031 ◽

2018 ◽

Vol 172 ◽

pp. 150-157 ◽

Cited By ~ 2

Author(s):

Noa Mandel-Shorer ◽

Shimrit Tzvi-Behr ◽

Elizabeth Harvey ◽

Shoshana Revel-Vilk

Keyword(s):

Central Venous Catheter ◽

Renal Disease ◽

Venous Thrombosis ◽

End Stage Renal Disease ◽

Venous Catheter ◽

Central Venous ◽

Stage Renal Disease ◽

End Stage

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Urgent-start peritoneal dialysis for end-stage renal disease patients: literature review and worldwide evidence-based practice

Renal Replacement Therapy ◽

10.1186/s41100-021-00384-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Atthaphong Phongphithakchai ◽

Phongsak Dandecha ◽

Sukit Raksasuk ◽

Thatsaphan Srithongkul

Keyword(s):

Peritoneal Dialysis ◽

Central Venous Catheter ◽

Renal Disease ◽

End Stage Renal Disease ◽

Venous Catheter ◽

Central Venous ◽

Dialysis Therapy ◽

Increased Risk ◽

Stage Renal Disease ◽

End Stage

AbstractThe prevalence of end-stage renal disease (ESRD) is on the rise worldwide. Meanwhile, the number of older people requiring dialysis therapy is increasing as a result of this population. We found that starting dialysis in an unplanned manner is a common occurrence, even for patients with nephrology follow-up. Most centers choose hemodialysis with a high rate of central venous catheter use at the time of initiation of dialysis. Current data has found that central venous catheter use is independently associated with increased mortality and high bacteremia rates. Peritoneal dialysis is one option to avoid bacteremia. The International Society for Peritoneal Dialysis guidelines suggests a break-in period of at least two weeks prior to an elective start of peritoneal dialysis, without mentioning urgent-start peritoneal dialysis. For unplanned ESRD patients, it is unrealistic to wait for two weeks before initiating peritoneal dialysis therapy. Urgent-start peritoneal dialysis has been suggested to be a practical approach of prompt initiation of peritoneal dialysis after catheter insertion, which may avoid an increased risk of central venous catheter-related complications, including bacteremia, central venous stenosis, and thrombosis associated with the temporary use of hemodialysis. Peritoneal dialysis is the alternative option, and many studies have presented an interest in urgent-start peritoneal dialysis. Some reports have compared urgent-start hemodialysis to peritoneal dialysis and found that urgent-start peritoneal dialysis is a safe and effective alternative to hemodialysis for an unplanned dialysis patient. This review aims to compare each literature report regarding techniques, prescriptions, outcomes, complications, and costs of urgent-start peritoneal dialysis.

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Comparison of the characteristics of patients with invasive infections and noninvasive infections caused by Trichosporon asahii

Medical Mycology ◽

10.1093/mmy/myaa076 ◽

2020 ◽

Author(s):

Jinyeong Kim ◽

Min Jae Kim ◽

Yong Pil Chong ◽

Sung-Han Kim ◽

Sang-Ho Choi ◽

...

Keyword(s):

Central Venous Catheter ◽

End Stage Renal Disease ◽

Hematologic Malignancy ◽

Venous Catheter ◽

Invasive Infection ◽

Central Venous ◽

Trichosporon Asahii ◽

Invasive Infections ◽

Stage Renal Disease ◽

End Stage

Abstract We performed retrospective study to identify the characteristics of invasive Trichosporon asahii infection. A total of 102 patients with T. asahii were identified including 18 (18%) with invasive infection. Invasive infection was associated with indwelling central venous catheter (94% vs 54%, P = .001), prior antifungal agent use (50% vs 18%, P = .01), hematologic malignancy (33% vs 7%, P = .006), and end-stage renal disease (28% vs 7%, P = .02). Patients with invasive infections had higher in-hospital mortality than patients with noninvasive infections (61% vs 27%, P = .006). Those with the above risk factors should be monitored for the development of invasive T. asahii infection. Lay summary Patients with indwelling central venous catheter, prior antifungal agent use, hematologic malignancy, and end-stage renal disease were associated with invasive Trichosporon asahii infection. Patients with invasive infections had higher in-hospital mortality than patients without invasive infection.

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Value of Ultrasound Guidance in Placement of Hemodialysis Access Catheters in Patients with End-Stage Renal Disease

The American Surgeon ◽

10.1177/000313480807401115 ◽

2008 ◽

Vol 74 (11) ◽

pp. 1111-1113

Author(s):

Chandra Hassan ◽

H.T. Girishkumar ◽

Bala Thatigotla ◽

Muhammad Asad ◽

Mahalingam Sivakumar ◽

...

Keyword(s):

Renal Disease ◽

End Stage Renal Disease ◽

Jugular Vein ◽

Venous Occlusion ◽

Central Vein ◽

Ultrasound Guided ◽

Hemodialysis Catheter ◽

Ultrasound Assessment ◽

Stage Renal Disease ◽

End Stage

The increasingly frequent use of ultrasound for the placement of central venous catheters has shown improved results. This study examined the role of ultrasound in the placement of hemodialysis access catheters in patients with end-stage renal disease. The subjects were all end-stage renal disease patients admitted to our hospital between January 2004 and April 2005 and who underwent ultrasound-guided placement of a hemodialysis catheter in a central vein. All patients underwent perioperative ultrasound assessment of the venous access site, followed by fluoroscopic confirmation of the catheter placement. Data from medical charts and the hospital computer system were subjected to statistical analysis. A total of 126 patients underwent ultrasound-guided placement of a hemodialysis catheter in a central vein; 58 had undergone prior placement of a central vein catheter, but 69 had not. Patients in the later group had a 100 per cent success rate in catheter placement after ultrasound assessment of one central vein. Among patients who had previously undergone central vein catheterization, 29 had jugular venous occlusion, 12 had bilateral jugular venous occlusion and thus required placement of femoral venous catheters and, 15 patients had jugular vein stenosis and 2 patients had the jugular vein thrombosed. The use of ultrasound to assess the central veins facilitated the identification of vein suitable for catheterization and the avoidance of occluded central veins. This protocol is effective and improves patient safety.

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Unexpected Internal Jugular Vein Obstruction Revealed by Ultrasound Surface Scan Before Central Venous Catheter Insertion

Anesthesia & Analgesia ◽

10.1213/ane.0b013e3181776bb1 ◽

2008 ◽

Vol 107 (1) ◽

pp. 347-348 ◽

Cited By ~ 7

Author(s):

Akihiro Suzuki ◽

Takayuki Kunisawa ◽

Tomoki Sasakawa ◽

Norifumi Katsumi ◽

Kimimoto Nagashima ◽

...

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous ◽

Surface Scan

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A case of internal jugular vein dissection that occurred during central venous catheter insertion

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2014.01.006 ◽

2014 ◽

Vol 26 (3) ◽

pp. 250-251 ◽

Cited By ~ 4

Author(s):

Hironobu Ueshima ◽

Tsutomu Mieda ◽

Yuki Ichikawa ◽

Jun Ariyama ◽

Akira Kitamura

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous

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Coiling of guide wire in the internal jugular vein during central venous catheter insertion: A rare complication

Indian Journal of Anaesthesia ◽

10.4103/0019-5049.147190 ◽

2014 ◽

Vol 58 (6) ◽

pp. 786 ◽

Cited By ~ 1

Author(s):

RicheekKumar Pal ◽

Baisakhi Laha ◽

Sabyasachi Nandy ◽

Rajasree Biswas

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Guide Wire ◽

Rare Complication ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous

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Dialysis access: issues related to conversion from peritoneal dialysis to hemodialysis and vice versa

The Journal of Vascular Access ◽

10.5301/jva.5000695 ◽

2017 ◽

Vol 18 (1_suppl) ◽

pp. S41-S46 ◽

Cited By ~ 2

Author(s):

Maurizio Gallieni ◽

Antonino Giordano ◽

Anna Ricchiuto ◽

Davide Gobatti ◽

Maurizio Cariati

Keyword(s):

Peritoneal Dialysis ◽

End Stage Renal Disease ◽

Venous Catheter ◽

Infectious Complications ◽

Dialysis Access ◽

Central Venous ◽

Treatment Start ◽

Alternative Approach ◽

Stage Renal Disease ◽

End Stage

Hemodialysis (HD) and peritoneal dialysis (PD) represent two complementary modalities of renal replacement therapy (RRT) for end-stage renal disease patients. Conversion between the two modalities is frequent and more likely to happen from PD to HD. Every year, 10% of PD patients convert to HD, suggesting the need for recommendations on how to proceed with the creation of a vascular access in these patients. Criteria for selecting patients who would likely fail PD, and therefore take advantage of a backup access, are undefined. Creating backup fistulas at the time of PD treatment start to allow emergency access for HD has proved to be inefficient, but it may be considered in patients with progressive difficulty in achieving adequate depuration and/or peritoneal ultrafiltration. A big challenge is represented by patients switching from PD to HD for unexpected infectious complications. Those patients need to start HD with a central venous catheter (CVC), but an alternative approach might be using an early cannulation graft, provided that infection has been cleared by the circulation. An early cannulation graft might also be used to considerably shorten the time spent using a CVC. In patients who need a conversion from HD to PD, urgent-start PD is now an accepted and well-established approach.

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