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Percutaneous Transhepatic Vein Permcath: A Case Report.

Prashant B Malviya¹, Ravi Andrews¹, Ajit Ghodke¹

¹Department of Nephrology, Apollo Hospital, Jubillee Hills, Hyderabad, Telangana, India.

Indian Journal of Nephrology

|April 12, 2021

Summary

For end-stage renal disease (ESRD) patients with failing vascular access, a novel percutaneous transhepatic vein permcath offers an effective solution. This case study highlights a successful intervention for complex hemodialysis access challenges.

Keywords:

Complications end-stage renal disease permcath transhepatic vein tunneled dialysis catheters vascular access

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Area of Science:

Nephrology
Interventional Radiology
Vascular Access

Background:

Vascular access is critical for hemodialysis in end-stage renal disease (ESRD) patients.
Arteriovenous fistulas are common, but 15% experience access failure, necessitating tunneled dialysis catheters (TDCs).
Managing multiple access failures, especially with concurrent peritoneal dialysis issues, presents significant clinical challenges.

Observation:

Patients with ESRD often face progressive loss of venous access sites.
Complications of TDCs include infection, thrombosis, and stenosis, further limiting options.
Difficulties in securing adequate vascular access impact patient survival.

Findings:

A case of ESRD with multiple, complex vascular access failures was successfully managed.
A percutaneous transhepatic vein permcath was effectively placed for hemodialysis.
This intervention provided a viable alternative when other access methods failed.

Implications:

Percutaneous transhepatic vein permcath placement is a promising option for complex ESRD vascular access cases.
This technique can be crucial for patient survival when standard options are exhausted.
Further data from India on such interventions is warranted to establish broader applicability.