Hemolysis in Hemodialysis, Secondary to Severe Vena Cava Stenosis
| Autor: | Dahyana Cadavid Aljure, Catalina Guerra-Alvarez, Lina Higuita-Urrego, Gloria Posada-Alvarez, Sergio Alvarez-Vallejo, Arbey Aristizabal-Alzate, John Fredy Nieto-Ríos, Sandra Marin-Durango, Gustavo Adolfo Zuluaga-Valencia, Eliana Ruiz-Aguilar, Catalina Ocampo-Kohn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
complications medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine hemodialysis access Angioplasty medicine blood circulation Atrium (heart) Dialysis medicine.diagnostic_test business.industry General Engineering stenosis Interventional radiology medicine.disease anemia Surgery Stenosis medicine.anatomical_structure Nephrology Etiology cardiovascular system Hemodialysis hemolysis Complication business Radiology 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Complications in hemodialysis patients are increasingly rare thanks to advances in technology, including more compatible membranes, more flexible lines, safety in water treatments, alarms in the circuit, and standardization in dialysate fluids plus exhaustive chemical and microbiological tests. In addition, it is highly unusual having hemolysis on hemodialysis; however, it is a life-threatening complication, so the cause must be identified and early managed. The etiology can be chemical or mechanical; however, so far, there are no reports in the literature of an association with severe stenosis of the vena cava, as it is described in the case reported here, where a patient presented hemolysis in two hemodialysis sessions, without initially being possible to find the cause; the only identifiable factor was that he had a dysfunctional tunneled jugular catheter, with a history of difficult vascular access. The patient underwent interventional radiology, finding 99% stenosis of the vena cava, which prevented the passage of the contrast agent to the atrium. Angioplasty and catheter replacement were performed, with a resolution of the complication; the subsequent dialysis therapies were satisfactory. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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