Translumbar hemodialysis long-term catheters: an alternative for vascular access failure
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/52489 https://doi.org/10.1590/2175-8239-JBN-2018-0080 |
Resumo: | 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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Moura, FernandoGuedes, Felipe LeiteDantas, YuriMaia, Ana HelenaOliveira, Rodrigo Azevedo deSilva, Artur Quintiliano Bezerra da2023-05-19T16:25:58Z2023-05-19T16:25:58Z2019-01MOURA, Fernando; GUEDES, Felipe Leite; DANTAS, Yuri; MAIA, Ana Helena; OLIVEIRA, Rodrigo Azevedo de; SILVA, Artur Quintiliano Bezerra da. Translumbar hemodialysis long-term catheters: an alternative for vascular access failure. Brazilian Journal Of Nephrology, [S.L.], v. 41, n. 1, p. 89-94, mar. 2019. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/2175-8239-jbn-2018-0080. Acesso em: 19 maio 2023.https://repositorio.ufrn.br/handle/123456789/52489https://doi.org/10.1590/2175-8239-JBN-2018-0080Introduction: 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.Introdução: O acesso vascular (AV) para hemodiálise (HD) é crucial para os pacientes portadores de doença renal crônica (DRC) estágio V. Infelizmente, com o passar dos anos, um percentual não desprezível desses enfermos evolui para falência de AV por diversos motivos, o que impossibilita a confecção de novas fístulas arteriovenosas (FAV) ou o implante de cateteres venosos centrais nos sítios de punções tradicionais. Nesse cenário, o implante de cateteres translombares para hemodiálise (CTLHD) em veia cava inferior ganha destaque como medida salvadora. Objetivos: Relatar uma série de 12 casos de implante de CTLHD, sua técnica de implante, patência e complicações. Métodos: Estudo retrospectivo que analisou 12 implantes de CTLHD por radiologista intervencionista no setor de hemodinâmica do Hospital Universitário da Universidade Federal do Rio Grande do Norte (UFRN), no período de janeiro/2016 a outubro/2017. Os dados coletados consistiram em: características demográficas da população estudada, taxa de sucesso, complicações observadas, sobrevida dos pacientes, patência do cateter e desfechos clínicos. Resultados: Todos os 12 CTLHD foram implantados e utilizados com sucesso; ocorreram apenas 2 complicações associadas ao procedimento (sangramento e falha na extubação); 41,6% dos pacientes apresentaram infecção relacionada ao cateter após 98 ± 72,1 dias (6-201 dias), mas não houve necessidade de remoção; e a patência foi de 315,5 cateteres-dia (65-631 dias). Conclusão: O CTLHD é uma opção para pacientes com falência de acesso vascular, prolongando a sobrevida dos pacientes e atuando como ponte para o transplante renal.Brazilian Journal Of NephrologyAtribuição 3.0 Brasilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccessrenal dialysisvascular access devicevascular patencycatheters, indwellingtreatment outcomediálise renaldispositivo de acesso vascularpatênciacateteres de demoraresultado do tratamentoTranslumbar hemodialysis long-term catheters: an alternative for vascular access failureCateter translombar para hemodiálise: uma alternativa para falência de acesso vascularinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleporreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALTranslumbarHemodialysisLong-term_Silva_Etal_2018.pdfTranslumbarHemodialysisLong-term_Silva_Etal_2018.pdfapplication/pdf679159https://repositorio.ufrn.br/bitstream/123456789/52489/1/TranslumbarHemodialysisLong-term_Silva_Etal_2018.pdf8d66f95d149288050c2fbbcd2dd6cb47MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/52489/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/52489/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53123456789/524892023-05-19 13:26:25.26oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-05-19T16:26:25Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Translumbar hemodialysis long-term catheters: an alternative for vascular access failure |
dc.title.alternative.pt_BR.fl_str_mv |
Cateter translombar para hemodiálise: uma alternativa para falência de acesso vascular |
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 diálise renal dispositivo de acesso vascular patência cateteres de demora resultado do tratamento |
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 Silva, Artur Quintiliano Bezerra da |
author_role |
author |
author2 |
Guedes, Felipe Leite Dantas, Yuri Maia, Ana Helena Oliveira, Rodrigo Azevedo de Silva, Artur Quintiliano Bezerra da |
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 Silva, Artur Quintiliano Bezerra da |
dc.subject.por.fl_str_mv |
renal dialysis vascular access device vascular patency catheters, indwelling treatment outcome diálise renal dispositivo de acesso vascular patência cateteres de demora resultado do tratamento |
topic |
renal dialysis vascular access device vascular patency catheters, indwelling treatment outcome diálise renal dispositivo de acesso vascular patência cateteres de demora resultado do tratamento |
description |
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.issued.fl_str_mv |
2019-01 |
dc.date.accessioned.fl_str_mv |
2023-05-19T16:25:58Z |
dc.date.available.fl_str_mv |
2023-05-19T16:25:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MOURA, Fernando; GUEDES, Felipe Leite; DANTAS, Yuri; MAIA, Ana Helena; OLIVEIRA, Rodrigo Azevedo de; SILVA, Artur Quintiliano Bezerra da. Translumbar hemodialysis long-term catheters: an alternative for vascular access failure. Brazilian Journal Of Nephrology, [S.L.], v. 41, n. 1, p. 89-94, mar. 2019. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/2175-8239-jbn-2018-0080. Acesso em: 19 maio 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/52489 |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1590/2175-8239-JBN-2018-0080 |
identifier_str_mv |
MOURA, Fernando; GUEDES, Felipe Leite; DANTAS, Yuri; MAIA, Ana Helena; OLIVEIRA, Rodrigo Azevedo de; SILVA, Artur Quintiliano Bezerra da. Translumbar hemodialysis long-term catheters: an alternative for vascular access failure. Brazilian Journal Of Nephrology, [S.L.], v. 41, n. 1, p. 89-94, mar. 2019. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/2175-8239-jbn-2018-0080. Acesso em: 19 maio 2023. |
url |
https://repositorio.ufrn.br/handle/123456789/52489 https://doi.org/10.1590/2175-8239-JBN-2018-0080 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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Atribuição 3.0 Brasil http://creativecommons.org/licenses/by/3.0/br/ info:eu-repo/semantics/openAccess |
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Atribuição 3.0 Brasil http://creativecommons.org/licenses/by/3.0/br/ |
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openAccess |
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Brazilian Journal Of Nephrology |
publisher.none.fl_str_mv |
Brazilian Journal Of Nephrology |
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reponame:Repositório Institucional da UFRN instname:Universidade Federal do Rio Grande do Norte (UFRN) instacron:UFRN |
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Universidade Federal do Rio Grande do Norte (UFRN) |
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