Hemodialysis catheter insertion using transrenal approach

Area of Science:

• Nephrology
• Vascular Surgery
• Interventional Radiology

Background:

• End-stage renal disease (ESRD) management often requires reliable vascular access for hemodialysis.
• Patients with lupus nephritis may develop exhausted vascular access after multiple interventions.
• Finding alternative dialysis access routes is crucial for ESRD patients with limited options.

Purpose of the Study:

• To present a rare case of successful dialysis catheter insertion using a percutaneous transrenal approach.
• To demonstrate the feasibility and long-term utility of this technique in a patient with exhausted vascular access.
• To offer a potential solution for ESRD patients facing challenges with traditional vascular access.

Main Methods:

• A percutaneous transrenal approach was employed for dialysis catheter insertion.
• The catheter was successfully placed and utilized for hemodialysis.
• The catheter was later replaced via the same transrenal site after a blockage complication.

Main Results:

• The transrenal dialysis catheter insertion was technically successful.
• The catheter provided functional vascular access for hemodialysis over a 2-year period.
• Successful catheter replacement through the same site demonstrated the durability of the tract.

Conclusions:

• The percutaneous transrenal route is a feasible and potentially life-saving option for ESRD patients with exhausted vascular access.
• This approach offers hope and expands treatment possibilities for complex dialysis access cases.
• Further research into the safety and efficacy of the transrenal route is warranted.