Skip to main content
SpringerLink
Log in

Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

When patients with end-stage renal disease have exhausted both conventional and unconventional venous access options, creative solutions must be sought for hemodialysis catheter placement in order to ensure survival. This case describes a patient in urgent need of a dialysis catheter despite total occlusion of the jugular, subclavian, and femoral veins. Occlusion of the inferior vena cava (IVC) and right renal vein resulted in failed attempts at translumbar catheter placement. A gooseneck snare was temporarily advanced through the liver to the IVC for use as a fluoroscopic target to facilitate successful single-puncture, translumbar catheterization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Rajan DK, Croteau DL, Sturza SG, Harvill ML, Mehall CJ (1998) Translumbar placement of inferior vena caval catheters: a solution for challenging hemodialysis access. Radiographics 18(5):1155–1167

    CAS  PubMed  Google Scholar 

  2. Biswal R, Nosher JL, Siegel RL, Bodner LJ (2003) Translumbar placement of paired hemodialysis catheters (Tesio catheters) and follow-up in 10 patients). Cardiovasc Interv Radiol 23(1):75–78

    Article  Google Scholar 

  3. Lund GB, Trerotola SO, Scheel PJ Jr (1995) Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 25(5):732–737

    Article  CAS  PubMed  Google Scholar 

  4. Kinney TB (2003) Translumbar high inferior vena cava access placement in patients with thrombosed inferior vena cava filters. J Vasc Interv Radiol 14(12):1563–1568

    PubMed  Google Scholar 

  5. Murthy R, Arbabzadeh M, Lund G, Richard H 3rd, Levitin A, Stainken B (2002) Percutaneous transrenal hemodialysis catheter insertion. J Vasc Interv Radiol 13(10):1043–1046

    Article  PubMed  Google Scholar 

  6. Smith TP, Ryan JM, Reddan DN (2004) Transhepatic catheter access for hemodialysis. Radiology 232(1):246–251

    Article  PubMed  Google Scholar 

  7. Stavropoulos SW, Pan JJ, Clark TW, Soulen MC, Shlansky-Goldberg RD, Itkin M, Trerotola SO (2003) Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol 14(9 Pt 1):1187–1190

    PubMed  Google Scholar 

  8. Schmiege LM 3rd, Wolf DA (2006) A case of fatal cardiac tamponade during hemodialysis. Semin Dial 19(5):434–437

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Section of Interventional Radiology, University of Chicago Hospitals, 5841 South Maryland Avenue, MC2026, Chicago, IL, 60637, USA

    Jonathan M. Lorenz, Sidney Regalado, Rakesh Navuluri, Steven Zangan, Thuong VanHa & Brian Funaki

Authors
  1. Jonathan M. Lorenz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sidney Regalado
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rakesh Navuluri
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Steven Zangan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Thuong VanHa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Brian Funaki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jonathan M. Lorenz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lorenz, J.M., Regalado, S., Navuluri, R. et al. Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion. Cardiovasc Intervent Radiol 33, 635–638 (2010). https://doi.org/10.1007/s00270-009-9660-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-009-9660-1

Keywords

Search

Navigation