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Tunneled double-lumen silicone hemodialysis catheter placement in three patients with permanent pacemaker wires: a

K I Sombolos1, F N Christidou, G I Bamichas

  • 1Renal Unit, G.H G. Papanikolaou, Thessaloniki, Greece. sobolos@spark.net.gr

The Journal of Vascular Access
|March 23, 2006
PubMed

Insights

Tunneled silicone catheters offer a permanent vascular access solution for hemodialysis patients with transvenous pacemakers. While effective, catheter-related infections remain a significant concern.

Area of Science:

  • Nephrology
  • Cardiology
  • Vascular Surgery

Background:

  • Permanent pacemaker wires can lead to central vein stenosis.
  • Transvenous pacemakers in hemodialysis patients can complicate ipsilateral arm vascular access.
  • Successful permanent vascular access is crucial for hemodialysis patients.

Purpose of the Study:

  • To evaluate the use of tunneled double-lumen silicone catheters as permanent vascular access in hemodialysis patients with transvenous pacemakers.
  • To assess the efficacy and complications of this approach.

Main Methods:

  • Case series of three hemodialysis patients.
  • Utilized tunneled double-lumen silicone catheters for permanent vascular access.
  • One patient received catheter insertion ipsilateral to the pacemaker site.

Main Results:

  • Tunneled silicone catheters were successfully used as permanent vascular access in all three patients.
  • Catheter-related infections were identified as the primary complication.
  • Feasibility demonstrated even with ipsilateral pacemaker placement.

Conclusions:

  • Tunneled double-lumen silicone catheters represent a viable option for permanent vascular access in hemodialysis patients with transvenous pacemakers.
  • Careful monitoring for and management of catheter-related infections are essential.
  • This method may overcome challenges associated with traditional ipsilateral access creation.

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