LEARNING FROM IMAGES – Dysfunctional Dialysis Catheter
Tushar J. Vachharajani*
Identifiers and Pagination:Year: 2012
First Page: 28
Last Page: 28
Publisher Id: TOUNJ-5-28
Article History:Received Date: 24/7/2012
Revision Received Date: 31/7/2012
Acceptance Date: 31/7/2012
Electronic publication date: 10/8/2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Tunneled dialysis catheter is a frequently used vascular access to initiate hemodialysis treatment for patients with end stage renal disease. Right internal jugular vein is the preferred site due to its straight continuation in to the superior vena cava . A well positioned tunneled catheter will have a smooth transition from the tunnel in to the internal jugular vein. Improper placement technique can lead to early dysfunction and inadequate dialysis treatment. Fig. (1A) shows an acute kink in the tunneled portion of the catheter resulting in catheter dysfunction. The ideal treatment option, when possible, is to create a new tunnel utilizing the same venous puncture thus preserving the venous access site. Additionally, the procedure is short with minimal discomfort to the patient. Fig. (1B) shows a new catheter with a smooth curve at the transition point from the subcutaneous tunnel into the internal jugular vein.
CONFLICT OF INTEREST
The author confirms that this article content has no conflict of interest.
|||Vachharajani TJ. Atlas of Dialysis Vascular Access Available at: www.fistulafirst.org 2012 [Accessed: July 22, 2012];|