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Using a Catheter for Hemodialysis Placed in the Inferior Vena Cava for the First Time in N. Macedonia - Translumbar

Nikola Gjorgjievski1, Aleksandar Gjoreski2, Ana Stojanoska1

  • 11University Hospital of Nephrology, Faculty of Medicine, SS Cyril and Methodius Skopje, RN Macedonia.

Prilozi (Makedonska Akademija Na Naukite I Umetnostite. Oddelenie Za Medicinski Nauki)
|March 29, 2023
PubMed

Insights

A percutaneous translumbar approach for hemodialysis catheters in the inferior vena cava offers a viable alternative when conventional vascular access is exhausted. This novel technique was successfully performed for the first time in North Macedonia, expanding options for patients.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Vascular access for hemodialysis is crucial but challenging.
  • Conventional access sites are often exhausted, necessitating central venous catheter placement in unconventional locations.
  • These include collateral vessels, hepatic veins, hemiazygos, azygos, renal veins, and the inferior vena cava.

Purpose of the Study:

  • To report the procedure and complications of the percutaneous translumbar approach for hemodialysis catheter placement in the inferior vena cava.
  • To introduce this technique as a potential option in North Macedonia.
  • To highlight its utility when conventional approaches are limited.

Main Methods:

  • Percutaneous translumbar catheterization of the inferior vena cava for hemodialysis access.
  • Detailed procedural steps and complication assessment.
  • First-time implementation in North Macedonia.

Main Results:

  • Successful placement of a hemodialysis catheter via the percutaneous translumbar approach.
  • Documentation of the procedure and associated complications.
  • Demonstration of feasibility in a new geographical region.

Conclusions:

  • The percutaneous translumbar approach is a potential alternative for hemodialysis vascular access when conventional methods fail.
  • This technique can be applied in both adult and pediatric populations.
  • Further studies are warranted to fully evaluate its long-term efficacy and safety profile.

Keywords:
central venous cathetershemodialysistranslumbar approachvena cava inferior

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