Colao JY, Padrón MFD, Suárez LJ, Machado PJL, Nafeh-Abi-Rezk M, Clemente-Afonso MQ

Language: Spanish
References: 7
Page: 1-5
PDF size: 254.96 Kb.

ABSTRACT

Intra-atrial catheter placement through an open surgical approach has emerged as a life-saving technique in hemodialysis patients with vascular access exhaustion. We present the case of a 60-year-old female patient with stage 5 chronic kidney failure who started a dialysis regimen for 1 year. Initially, an arteriovenous fistula was performed and was not useful. Later, all available venous territories were approached by catheters, requiring removal due to thrombosis and / or infection, she was 21 days without dialysis due to not having venous access, for this reason and as a last resort technique, a Diasil catheter was placed through the right mini-thoracotomy in the superior vena cava that was advanced to the right atrium. In the following three months, the patient was on dialysis without major complications through the catheter placed, and a new arteriovenous fistula was performed during this time, maintaining her dialysis regimen unaffected.

REFERENCES

1. Pereira M, Lopez N, Godinho I, Jorge S, Nogueira E, Neves F, et al. Life-saving vascular access in vascular capital exhaustion.J Bras Nefrol. 2017; 39(1):36-41.DOI: 10.5935/0101-2800.20170006

2. Asif A, Costanzo E, Sadiang-Abay E.Intra-atrial catheter: a viable option for insertion beyond the central veins.J Bras Nefrol. 2017;39(2):98-99.DOI: 10.5935/0101-2800.20170023

3. Oguz E, Ozturk P, Erkul S, Calkavur T. Right intra-atrial catheter placement for hemodialysis in patients with multiple venous failure.Hemodial Int. 2012;16(2):306-9.DOI: 10.1111/j.1542-4758.2011.00653.x

4. Yildiz Z, Tort M, Çalik ES, Arslan Ü, Kaygin MA. Indwelling hemodialysis catheterization by transthoracic way.Ren Fail, 2015; 37(3): 532–533.DOI: 10.3109/0886022X.2015.1006115

5. Restrepo ValenciaCA, Buritica Barragán CM, Arango A. Catéter en vena cava superior para hemodiálisis entre los últimos recursos en hemitórax superior.Nefrologia. 2010;30(4):463-6. DOI:10.3265/Nefrologia.pre2010.May.10452

6. Ministro A, Tiago F, Pinto V, Mendes Pedro L. Extreme and alternative hemodialysis access options for «end of the road» patients. En: Carlos Vaquero, editor. Accesos vasculares para hemodiálisis. 1era ed. Valladolid: PROCIVAS, S.L.N.E.; 2019. p 141- 149.

7. Archundía García A, Mendoza Cortés A, García León R. Instalación de catéter de hemodiálisis por vía paraesternal. Rev Mex de Angiol. 2001; 29 (2):50-53. Irabién J, Pérez-Delgado Y, Muradás-Augier M.Colocación de catéter de hemodiálisis por víaparaesternal. Informe del primer caso en Cuba. Rev Cub Anestesiol Rean [revista en internet].2011[citado 2020 mayo 21];10(1):67-71.Disponible en: http://revanestesia.sld.cu/index.php/anestRean/article/view/328