Intracardiac vascular access in haemodialysis: A last resort for exhausted traditional access.

Autor: Narváez Mejía C; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Singh A; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Villanego F; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Naranjo J; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Cazorla Lopez JM; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Daroca Martínez T; Department of Cardiovascular Surgery, Puerta del Mar University Hospital, Cadiz, Spain., Alonso Mozo M; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Amaro Martín JM; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Ceballos M; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain., Mazuecos A; Department of Nephrology, Puerta del Mar University Hospital, Cadiz, Spain.
Jazyk: angličtina
Zdroj: Nephrology (Carlton, Vic.) [Nephrology (Carlton)] 2024 Oct; Vol. 29 (10), pp. 699-702. Date of Electronic Publication: 2024 Jul 18.
DOI: 10.1111/nep.14370
Abstrakt: Depletion of veins for dialysis access is a challenging life threatening situation for patients in need of haemodialysis. The utilisation of intracardiac catheter is a rare procedure with scarce reported experience. We describe the case of a 68-year-old male that contributes to the limited knowledge of performing a life-saving intracardiac catheter placement for emergency haemodialysis in a patient without immediate alternative renal replacement therapy available. We also retrospectively analyse the experience reported so far and summarise complications and outcomes. In our case, the patient was able to pursue haemodialysis after intracardiac catheter placement without any complications. Two weeks later, the patient successfully received a kidney transplant from a deceased donor and has a serum creatinine of 1.7 mg/dL after 2 years of follow-up. There are only four reported cases of kidney transplantation after the procedure, including our own. Intracardiac catheter is an emerging option that could be considered in certain patients as the last resort. Further investigation with regards to patient candidacy and procedure security are necessary.
(© 2024 Asian Pacific Society of Nephrology.)
Databáze: MEDLINE
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