Successful Use of a Right Atrial Catheter for Hemodialysis

Maintenance of patent hemodialysis access is a major issue in the chronic dialysis population. Patients on chronic hemodialysis are at risk of progressive loss of possible sites for permanent vascular access. This issue becomes increasingly important in patients who are not suitable candidates for a...

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Bibliographic Details
Published in:The American journal of the medical sciences 2005-02, Vol.329 (2), p.104-106
Main Authors: Negoi, Dana, Misra, Madhukar, Schmaltz, Richard
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Catheters, Indwelling
Emergency and intensive care: renal failure. Dialysis management
Female
General aspects
Hemodialysis
Humans
Intensive care medicine
Intracardiac catheter
Lupus Erythematosus, Systemic - complications
Medical sciences
Middle Aged
Renal Dialysis
Renal Insufficiency - complications
Renal Insufficiency - therapy
Vascular access
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Summary:Maintenance of patent hemodialysis access is a major issue in the chronic dialysis population. Patients on chronic hemodialysis are at risk of progressive loss of possible sites for permanent vascular access. This issue becomes increasingly important in patients who are not suitable candidates for any other mode of renal replacement therapy for a variety of clinical reasons. When all conventional access sites are exhausted, a creative approach is often needed to establish an alternative vascular access for dialysis to maintain life. We report the placement of a tunneled dialysis catheter in the right atrium in such a patient. After 14 months, this catheter is still being used to deliver hemodialysis without any complications.
ISSN:0002-9629
1538-2990
DOI:10.1097/00000441-200502000-00010