Abstract
Central venous access for long term dialysis has always been a major difficulty, especially in cases where the traditional sites are no longer available. We present a case of a pediatric patient where the usual sites were occluded and he needed a reliable venous access for his dialysis. The inferior vena cava has been used in adult patients, but no reports were found in the pediatric literature. We chose this site as an alternative for this patient. The catheter was placed via a percutaneous translumbar approach, and remained in place for almost 2 years until the patient received a renal transplant.
References
Zhang P, Yuan J, Chen JH, Wu JY, Zhang XH, Jiang H (2004) Complications related to permanent deep venous catheterization using dual lumen hemodialysis catheter. Zhonghua Nei Ke Za Zhi 43(3):198–200, Abs
Chatzinikolaou I, Hanna H, Hachem R, Alakech B, Tarrand J, Raad I (2004) Differential quantitative blood cultures for the diagnosis of catheter-related bloodstream infections associated with short- and long-term catheters: a prospective study. Diagn Microbiol Infect Dis 50(3):167–172
Anton N, Massicotte MP (2001) Venous thromboembolism in pediatrics. Semin Vasc Med 1(1):111–122
Han SH, Kim SD, Kim CS, Kim WH, Lim C, Park YS, Bahk JH (2004) Comparison of central venous catheterization sites in infants. J Int Med Res 32(6):563–569
Ortuño Mirete J, Conde Olasagasti J, Ruiz de Salazar D, Sanz Guajardo D, Botella García J (1971) Hemodialysis by using percutaneous catheterization of the vena cava. Rev Clin Esp 121(2):169–172
Firat A, Aytekin C, Kirbas I, Boyvat F (2003) Case report: direct percutaneous placement of tunneled hemodialysis catheter into the inferior vena cava in a patient with dialysis access problem. Tani Girisim Radyol 9(2):260–262
Biswal R, Nosher JL, Siegel RL, Bodner LJ (2000) Translumbar placement of paired hemodialysis catheters (Tesio catheters) and follow-up in 10 patients. Cardiovasc Intervent Radiol 23(1):75–78
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, discussion 1167–1170
Lund GB, Trerotola SO, Scheel PJ Jr (1995) Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 25(5):732–737
Smith TP, Ryan JM, Reddan DN (2004) Transhepatic catheter access for hemodialysis. Radiology 232(1):246–251
Azizkhan RG, Taylor LA, Jaques PF, Mauro MA, Lacey SR (1992) Percutaneous tanslumbar and transhepatic inferior vena cava catheters for prolonged vascular access in children. J Pediatr Surg 27(2):165–169
Wellons ED, Matsuura J, Lai KM, Levitt A, Rosenthal D (2005) Transthoracic cuffed hemodialysis catheters: a method for difficult hemodialysis access. J Vasc Surg 42(2):286–289
Copley JB, Bartram LS, Smith BJ, Sandoval J, James MK, Hickman RO (1984) Transabdominal angio-access catheter for long-term hemodialysis. Ann Intern Med 100(2):236–237
Clark TW, Rajan DK (2004) Treating intractable venous stenosis: present and future therapy. Semin Dial 17(1):4–8
Pan HB, Liang HL, Lin YH, Chung HM, Wu TH, Chen CY, Fang HC, Chen CK, Lai PH, Yang CF (2005) Metallic stent placement for treating peripheral outflow lesions in native arteriovenous fistula hemodialysis patients after insufficient balloon dilatation. AJR Am J Roentgenol 184(2):403–409
Sreenarasimhaiah VP, Margassery SK, Martin KJ, Bander SJ (2005) Salvage of thrombosed dialysis access grafts with venous anastomosis stents. Kidney Int 67(2):772–773
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rodriguez-Cruz, E., Bonilla, M. & Perez, J. Percutaneous translumbar inferior vena cava catheter placement for long-term hemodialysis treatment. Pediatr Nephrol 22, 612–615 (2007). https://doi.org/10.1007/s00467-006-0373-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-006-0373-2