Acil Hemodiyaliz için Vena Cava Inferior'un Cerrahi Kateterizasyonu

Abstract

Kronik böbrek yetersizliği olgularında, önemli tedavi seçeneği olan hemodiyaliz için arteriyovenöz fistül veya santral venöz kateterizasyon hayati önem taşır. Yeterli debi sağlayan arteriyovenöz fistülü olmayan olgularda acil hemodiyaliz için santral venöz katetere ihtiyaç vardır. Arteriyel veya venöz oklüzyonlar nedeniyle yaşanan "terminal access" problemlerinde son seçenek olarak vena cava inferior'un veya kalbin kateterizasyonu yapılabilir. Bu yazımızda, "terminal acces" problemi yaşadığımız ve cerrahi olarak vena cava inferior'un kateterizasyonunu yaparak yaşam sürelerini uzattığımız iki olguyu sunmayı amaçladık.

Keywords

• Kronik renal yetersizlik, hemodiyaliz; kateter

Surgical Catheterization of Inferoir Vena Cava for Emergent Hemodialysis

Abstract

Arteriovenous fistula or central venous catheterization carries vital importance for hemodialysis which is an important treatment option in patients with chronic renal failure. In patients without an arteriovenous fistula providing adequate flow, a central venous catheter is required for emergent hemodialysis. In case of terminal access problems due to arterial or venous occlusions, catheterization of the inferior vena cava or the heart may be performed. Here we present two cases with terminal access problems in whom we performed surgical catheterization of the inferior vena cava.

Keywords

• Chronic renal failure, hemodialysis; catheter

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