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, Page 45-56 PDF (805.87 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asjs.2021.212872 | ||||
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Authors | ||||
Hassan Lotfy 1; 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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