Translumbar hemodialysis long-term catheters: an alternative for vascular access failure

Detalhes bibliográficos
Autor(a) principal: Moura,Fernando
Data de Publicação: 2019
Outros Autores: Guedes,Felipe Leite, Dantas,Yuri, Maia,Ana Helena, Oliveira,Rodrigo Azevedo de, Quintiliano,Artur
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Nefrologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000100089
Resumo: Abstract Introduction: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. In this scenario, translumbar tunneled dialysis catheter (TLDC) may be a salvage option. Objectives: To describe placement technic, complications, and patency of 12 TLDC. Methods: A retrospective study was performed to analyze 12 TLDC placement in an angiography suite using fluoroscopic guidance at the University Hospital of the Rio Grande do Norte Federal University from January 2016 to October 2017. The data collected of the total procedures performed consisted of demographic characteristics, success rates, observed complications, patient survival, and catheter patency. Results: All 12 TLDC were placed with success; there were only 2 significant periprocedure complications (major bleeding and extubation failure); 41.6% of patients presented a catheter-related first infection after 98 ± 72.1 (6-201) days, but catheter withdrawal was not necessary, mean total access patency was 315.5 (range 65 - 631) catheter-days, and catheter patency at 3, 6 and 12 months was 91 %, 75%, and 45%. Conclusion: TLDC is an option for patients with VA failure, improving survival and acting as a bridge for renal transplantation.
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spelling Translumbar hemodialysis long-term catheters: an alternative for vascular access failureRenal DialysisVascular Access DeviceVascular PatencyCatheters, IndwellingTreatment OutcomeAbstract Introduction: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. In this scenario, translumbar tunneled dialysis catheter (TLDC) may be a salvage option. Objectives: To describe placement technic, complications, and patency of 12 TLDC. Methods: A retrospective study was performed to analyze 12 TLDC placement in an angiography suite using fluoroscopic guidance at the University Hospital of the Rio Grande do Norte Federal University from January 2016 to October 2017. The data collected of the total procedures performed consisted of demographic characteristics, success rates, observed complications, patient survival, and catheter patency. Results: All 12 TLDC were placed with success; there were only 2 significant periprocedure complications (major bleeding and extubation failure); 41.6% of patients presented a catheter-related first infection after 98 ± 72.1 (6-201) days, but catheter withdrawal was not necessary, mean total access patency was 315.5 (range 65 - 631) catheter-days, and catheter patency at 3, 6 and 12 months was 91 %, 75%, and 45%. Conclusion: TLDC is an option for patients with VA failure, improving survival and acting as a bridge for renal transplantation.Sociedade Brasileira de Nefrologia2019-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000100089Brazilian Journal of Nephrology v.41 n.1 2019reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2018-0080info:eu-repo/semantics/openAccessMoura,FernandoGuedes,Felipe LeiteDantas,YuriMaia,Ana HelenaOliveira,Rodrigo Azevedo deQuintiliano,Artureng2020-11-27T00:00:00Zoai:scielo:S0101-28002019000100089Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2020-11-27T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false
dc.title.none.fl_str_mv Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
title Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
spellingShingle Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
Moura,Fernando
Renal Dialysis
Vascular Access Device
Vascular Patency
Catheters, Indwelling
Treatment Outcome
title_short Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
title_full Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
title_fullStr Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
title_full_unstemmed Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
title_sort Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
author Moura,Fernando
author_facet Moura,Fernando
Guedes,Felipe Leite
Dantas,Yuri
Maia,Ana Helena
Oliveira,Rodrigo Azevedo de
Quintiliano,Artur
author_role author
author2 Guedes,Felipe Leite
Dantas,Yuri
Maia,Ana Helena
Oliveira,Rodrigo Azevedo de
Quintiliano,Artur
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Moura,Fernando
Guedes,Felipe Leite
Dantas,Yuri
Maia,Ana Helena
Oliveira,Rodrigo Azevedo de
Quintiliano,Artur
dc.subject.por.fl_str_mv Renal Dialysis
Vascular Access Device
Vascular Patency
Catheters, Indwelling
Treatment Outcome
topic Renal Dialysis
Vascular Access Device
Vascular Patency
Catheters, Indwelling
Treatment Outcome
description Abstract Introduction: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. In this scenario, translumbar tunneled dialysis catheter (TLDC) may be a salvage option. Objectives: To describe placement technic, complications, and patency of 12 TLDC. Methods: A retrospective study was performed to analyze 12 TLDC placement in an angiography suite using fluoroscopic guidance at the University Hospital of the Rio Grande do Norte Federal University from January 2016 to October 2017. The data collected of the total procedures performed consisted of demographic characteristics, success rates, observed complications, patient survival, and catheter patency. Results: All 12 TLDC were placed with success; there were only 2 significant periprocedure complications (major bleeding and extubation failure); 41.6% of patients presented a catheter-related first infection after 98 ± 72.1 (6-201) days, but catheter withdrawal was not necessary, mean total access patency was 315.5 (range 65 - 631) catheter-days, and catheter patency at 3, 6 and 12 months was 91 %, 75%, and 45%. Conclusion: TLDC is an option for patients with VA failure, improving survival and acting as a bridge for renal transplantation.
publishDate 2019
dc.date.none.fl_str_mv 2019-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/2175-8239-jbn-2018-0080
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv Brazilian Journal of Nephrology v.41 n.1 2019
reponame:Jornal Brasileiro de Nefrologia
instname:Sociedade Brasileira de Nefrologia (SBN)
instacron:SBN
instname_str Sociedade Brasileira de Nefrologia (SBN)
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reponame_str Jornal Brasileiro de Nefrologia
collection Jornal Brasileiro de Nefrologia
repository.name.fl_str_mv Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)
repository.mail.fl_str_mv ||jbn@sbn.org.br
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