Öz
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.
Anahtar Kelimeler
Kaynakça
- Wellons ED, Matsuura J, Lai KM, Levitt A, Rosenthal D. Transthoracic cuffed hemodialysis catheters: a method for difficult hemodialysis access. J Vasc Surg 2005;42:286-9.
- Agarwal AK, Patel BM, Haddad NJ. Central Vein Stenosis: A Nephrologist’s Perspective. Semin Dial 2007;20:53-62.
- Huber TS, Seeger JM. Approach to patients with‘complex’ hemodialysis access problems. Semin Dial 2003;16:22-9.
- Nicholson ML. Provision of long-term vascular access for haemodialysis in a patient with exhausted superficial arm veins. Br J Surg 2001;88:484-5.
- Taal MW, Chesterton LJ, McIntyre CW. Venography at insertion of tunnelled internal jugular vein dialysis catheters reveals significant occult stenosis. Nephrol Dial Transplant 2004;19:1542-5.
- Weeks SM. Unconventional venous access. Tech Vasc Interv Radiol 2002; 5:114-120.
- Lund GB, Trerotola SO, Scheel PJ Jr. Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 1995;25:732-7.
- Matsagas MI, Gouva CD, Charissis C, Katopodis KP, Fatouros M, Kappas AM. Vascular Access for haemodialysis in extreme situations: surgically placed inferior vena cava catheter. Nephrol Dial Transplant 2004;19:752-3.
Öz
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.
Anahtar Kelimeler
Kaynakça
- Wellons ED, Matsuura J, Lai KM, Levitt A, Rosenthal D. Transthoracic cuffed hemodialysis catheters: a method for difficult hemodialysis access. J Vasc Surg 2005;42:286-9.
- Agarwal AK, Patel BM, Haddad NJ. Central Vein Stenosis: A Nephrologist’s Perspective. Semin Dial 2007;20:53-62.
- Huber TS, Seeger JM. Approach to patients with‘complex’ hemodialysis access problems. Semin Dial 2003;16:22-9.
- Nicholson ML. Provision of long-term vascular access for haemodialysis in a patient with exhausted superficial arm veins. Br J Surg 2001;88:484-5.
- Taal MW, Chesterton LJ, McIntyre CW. Venography at insertion of tunnelled internal jugular vein dialysis catheters reveals significant occult stenosis. Nephrol Dial Transplant 2004;19:1542-5.
- Weeks SM. Unconventional venous access. Tech Vasc Interv Radiol 2002; 5:114-120.
- Lund GB, Trerotola SO, Scheel PJ Jr. Percutaneous translumbar inferior vena cava cannulation for hemodialysis. Am J Kidney Dis 1995;25:732-7.
- Matsagas MI, Gouva CD, Charissis C, Katopodis KP, Fatouros M, Kappas AM. Vascular Access for haemodialysis in extreme situations: surgically placed inferior vena cava catheter. Nephrol Dial Transplant 2004;19:752-3.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2013 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 17 Sayı: 1 |