Sharp recanalization of central venous occlusions: a useful technique for haemodialysis line insertion.

Central venous occlusions can be difficult to traverse using conventional catheter and wire techniques. We describe six procedures in five patients using a technique of "sharp" recanalization and subsequent line insertion. The technique was successful in all of the cases, with the line functional for a mean duration of 13 months. This technique can permit successful dialysis catheter placement in patients who have failed with traditional techniques.

[1]  J. Nosher,et al.  Translumbar placement of paired hemodialysis catheters (Tesio Catheters) and follow-up in 10 patients , 2000, CardioVascular and Interventional Radiology.

[2]  T. Murphy,et al.  Use of a puncture needle for recanalization of an occluded right subclavian vein , 1998, CardioVascular and Interventional Radiology.

[3]  J. Reyes,et al.  Central venous recanalization in patients with short gut syndrome: restoration of candidacy for intestinal and multivisceral transplantation. , 2005, Journal of vascular and interventional radiology : JVIR.

[4]  R. Günther,et al.  Sharp Central Venous Recanalization by Means of a TIPS Needle , 2005, CardioVascular and Interventional Radiology.

[5]  R. Wolfe,et al.  Vascular access use in Europe and the United States: results from the DOPPS. , 2002, Kidney international.

[6]  T. Kinney,et al.  Direct US-guided puncture of the innominate veins for central venous access. , 2001, Journal of vascular and interventional radiology : JVIR.

[7]  H. Richard,et al.  A randomized, prospective evaluation of the Tesio, Ash split, and Opti-flow hemodialysis catheters. , 2001, Journal of vascular and interventional radiology : JVIR.

[8]  N. Patel.  Percutaneous translumbar placement of a Hickman catheter into the azygous vein. , 2000, AJR. American journal of roentgenology.

[9]  S. Schwab,et al.  The hemodialysis catheter conundrum: hate living with them, but can't live without them. , 1999, Kidney international.

[10]  E. Lang,et al.  Sharp recanalization of central venous occlusions. , 1999, Journal of vascular and interventional radiology : JVIR.

[11]  J. Reyes,et al.  Transhepatic insertion of vascular dialysis catheters in children: a safe, life-prolonging procedure , 1999, Pediatric Radiology.

[12]  T. Murphy,et al.  Percutaneous venous bypass for refractory dialysis-related subclavian vein occlusion. , 1998, Journal of vascular and interventional radiology : JVIR.

[13]  U. Prasad,et al.  Acute Budd-Chiari syndrome caused by percutaneous placement of a transhepatic inferior vena cava catheter. , 1997, Journal of vascular and interventional radiology : JVIR.

[14]  J. Lopera,et al.  Recanalization of occluded veins to provide access for central catheter placement. , 1996, Journal of vascular and interventional radiology : JVIR.

[15]  E. Brown,et al.  Subclavian stenosis: a major complication of subclavian dialysis catheters. , 1988, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.