Clinical experience of REcanalisation and balloon-oriented puncture for Re-insertion of long- term dialysis catheter in nonpatent central veins.
10.3760/cma.j.cn441217-20220530-00547
- Author:
Qiang LI
1
;
Liang You ZHANG
1
;
Gang Yi CHEN
1
;
Shui Fu TANG
1
Author Information
1. Department of Nephrology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Catheterization, Central Venous/adverse effects*;
Catheters, Indwelling;
Renal Dialysis;
Jugular Veins;
Punctures
- From:
Chinese Journal of Hepatology
2023;39(1):39-41
- CountryChina
- Language:Chinese
-
Abstract:
It is difficult to insert long-term dialysis catheters after severe stenosis or occlusion of the internal jugular vein and innominate vein. We used REcanalisation and balloon-oriented puncture for Re-insertion of dialysis catheter in nonpatent central veins (REBORN) in seven patients with severe central venous lesions, and all patients were inserted with long-term dialysis catheters successfully. None had severe complications such as pneumothorax, hemothorax, or pulmonary embolism during operation. All catheters functioned well after postoperative follow-up of 2 months. REBORN provides a novel approach to establish difficult dialysis pathways.