Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion
Lotfy, H., Elemam, A., Shaalan, W., El Mahdi, A., Ibrahim, A., Naga, A. (2021). Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion. EKB Journal Management System, 14(1), 45-56. doi: 10.21608/asjs.2021.212872
Hassan Lotfy; Aly Elemam; Wael Shaalan; Ahmed M. El Mahdi; Akram Ibrahim; Ahmed Naga. "Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion". EKB Journal Management System, 14, 1, 2021, 45-56. doi: 10.21608/asjs.2021.212872
Lotfy, H., Elemam, A., Shaalan, W., El Mahdi, A., Ibrahim, A., Naga, A. (2021). 'Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion', EKB Journal Management System, 14(1), pp. 45-56. doi: 10.21608/asjs.2021.212872
Lotfy, H., Elemam, A., Shaalan, W., El Mahdi, A., Ibrahim, A., Naga, A. Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion. EKB Journal Management System, 2021; 14(1): 45-56. doi: 10.21608/asjs.2021.212872

Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion

Ain Shams Journal of Surgery
Article 6, Volume 14, Issue 1, July 2021, Pages 45-56    PDF (805.87 K)
Document Type: Original Article
DOI: 10.21608/asjs.2021.212872
Authors
Hassan Lotfy1; Aly Elemam1; Wael Shaalan1; Ahmed M. El Mahdi2; Akram Ibrahim3; Ahmed Naga1
1Department of Vascular Surgery, Faculty of Medicine, Alexandria University, Egypt
2Vascular Surgery Department, Faculty of Medicine, Helwan University, Egypt
3Faculty of Medicine, Alexandria University, Medical Student, Egypt
Abstract
Background: Patients who suffers from central venous occlusion (CVO) or central venous stenosis (CVS) with no
options for vascular access (VA) need urgent HD.
Purpose: To evaluate CVO or CVS endovascular veinoplasty through an occluded access site to insert tunnelled
catheter for HD.
Patients and methods: Patients included had no options for VA and had CVO or CVS.
Results: 124 patients on HD had endovascular veinoplasty. Technical success was 100% and 79% for CVS and
CVO. Mean follow-up period was 36.16±12.6 months. Primary catheter site patency was 70%, 40%, 20%, and 5%
after one, two, three, and four years. Assisted primary catheter site patency was 77%, 45%, 27%, and 12% and
access vein survival was 100%, 80%, 40%, and 15% respectively at one, two, three, and four years, respectively.
Conclusion: Recanalizing occluded veins for catheter insertion is simple, cost-effective, and safe.
Keywords
Tunnelled catheter; central venous occlusion; veinoplasty
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