The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi
Introduction. Longer survival in dialysis led to a higher incidence of vascular access complications and failure. With the limited access to kidney transplantation programs and peritoneal dialysis, exhaustion of vascular access for hemodialysis is an increasingly common situation. Among the availabl...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2024/5219914 |
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| author | Meriam Hajji Salah Saied Ikram Mami Yassine Khadhar Tasnim Ben Ayed Imen Gorsane Fethi Ben Hamida Jalel Ziadi Mohamed Karim Zouaghi Ezzeddine Abderrahim |
| author_facet | Meriam Hajji Salah Saied Ikram Mami Yassine Khadhar Tasnim Ben Ayed Imen Gorsane Fethi Ben Hamida Jalel Ziadi Mohamed Karim Zouaghi Ezzeddine Abderrahim |
| author_sort | Meriam Hajji |
| collection | DOAJ |
| description | Introduction. Longer survival in dialysis led to a higher incidence of vascular access complications and failure. With the limited access to kidney transplantation programs and peritoneal dialysis, exhaustion of vascular access for hemodialysis is an increasingly common situation. Among the available options, atrial tunneled dialysis catheter (ATDC) has been reported as an effective vascular access in this population. Methodology. We report the experiences of two nephrology centers in Tunis with ATDC as an ultimate vascular access for dialysis. Case Reports. Two patients with exhausted vasculature underwent ATDC insertion in 2020 and 2022, respectively, as a vascular access of last resort. Both patients underwent CRBI, which resolved with favorable outcomes. One case was complicated by post-operative thrombosis and was successfully treated with thrombolysis. Both patients are currently on dialysis via their ATDC with a catheter patency of 29 months. Conclusion. ATDC is a life-saving and safe vascular access in cases of depleted vasculature. Little more than 50 cases have been reported in the literature during the last 30 years. As the frequency of vasculature exhaustion is expected to increase, preservation of veinous access in patients at risk of chronic kidney disease have never been more crucial. |
| format | Article |
| id | doaj-art-29fa803f98294aeeb5d194998e90eab5 |
| institution | Kabale University |
| issn | 2090-665X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-29fa803f98294aeeb5d194998e90eab52025-02-03T01:29:26ZengWileyCase Reports in Nephrology2090-665X2024-01-01202410.1155/2024/5219914The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated ThrombiMeriam Hajji0Salah Saied1Ikram Mami2Yassine Khadhar3Tasnim Ben Ayed4Imen Gorsane5Fethi Ben Hamida6Jalel Ziadi7Mohamed Karim Zouaghi8Ezzeddine Abderrahim9Department of Medicine ADepartment of Medicine AFaculty of Medicine of TunisFaculty of Medicine of TunisDepartment of Medicine ADepartment of Medicine ADepartment of Medicine ADepartment of Cardiac and Vascular SurgeryDepartment of NephrologyDepartment of Medicine AIntroduction. Longer survival in dialysis led to a higher incidence of vascular access complications and failure. With the limited access to kidney transplantation programs and peritoneal dialysis, exhaustion of vascular access for hemodialysis is an increasingly common situation. Among the available options, atrial tunneled dialysis catheter (ATDC) has been reported as an effective vascular access in this population. Methodology. We report the experiences of two nephrology centers in Tunis with ATDC as an ultimate vascular access for dialysis. Case Reports. Two patients with exhausted vasculature underwent ATDC insertion in 2020 and 2022, respectively, as a vascular access of last resort. Both patients underwent CRBI, which resolved with favorable outcomes. One case was complicated by post-operative thrombosis and was successfully treated with thrombolysis. Both patients are currently on dialysis via their ATDC with a catheter patency of 29 months. Conclusion. ATDC is a life-saving and safe vascular access in cases of depleted vasculature. Little more than 50 cases have been reported in the literature during the last 30 years. As the frequency of vasculature exhaustion is expected to increase, preservation of veinous access in patients at risk of chronic kidney disease have never been more crucial.http://dx.doi.org/10.1155/2024/5219914 |
| spellingShingle | Meriam Hajji Salah Saied Ikram Mami Yassine Khadhar Tasnim Ben Ayed Imen Gorsane Fethi Ben Hamida Jalel Ziadi Mohamed Karim Zouaghi Ezzeddine Abderrahim The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi Case Reports in Nephrology |
| title | The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi |
| title_full | The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi |
| title_fullStr | The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi |
| title_full_unstemmed | The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi |
| title_short | The Tunnelled Atrial Catheter: A Promising Solution for Vascular Capital Depletion in Dialysis despite Associated Thrombi |
| title_sort | tunnelled atrial catheter a promising solution for vascular capital depletion in dialysis despite associated thrombi |
| url | http://dx.doi.org/10.1155/2024/5219914 |
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