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Title: REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)

Abstract

PurposeTo describe a technique involving REcanalisation and Balloon-Oriented puncture for Re-insertion of dialysis catheter in Nonpatent central veins (REBORN) and to report long-term results.Materials and MethodsThis is a retrospective study of ten subjects in whom dialysis catheters were inserted using the REBORN technique from March 2012 to October 2014 and followed up till April 2016. Data on the duration of catheter usage, complications and reasons for removal were obtained. Seven patients had partially occluded lower internal jugular veins (IJV) recanalised in an antegrade fashion via a more cranial puncture. The balloon was then inflated at usual puncture site with an 18G needle. The collapsed balloon was cannulated with a guide wire, and both balloon and guide wire were advanced together into the superior vena cava. This was followed by tunnelled catheter placement using standard techniques. Two patients had catheters placed in the subclavian vein using a similar antegrade technique, and one patient had catheter placed via the left IJV following retrograde recanalisation from a right femoral puncture.ResultsMean duration of catheter use was 278 days (range 32–503). Three catheters were removed due to matured arteriovenous accesses. Four patients had successful catheter change over the same subcutaneous track due to catheter malfunction. Onemore » catheter was removed after 7 months because of sepsis. No complications were reported.ConclusionThe REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.« less

Authors:
 [1];  [2]; ; ;  [1];  [3]
  1. Singapore General Hospital (Singapore)
  2. Aga Khan University Hospital (Pakistan)
  3. Mount Elizabeth Novena Hospital (Singapore)
Publication Date:
OSTI Identifier:
22645471
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 39; Journal Issue: 8; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BALLOONS; DIALYSIS; PATIENTS; VASCULAR DISEASES; VEINS; WIRES

Citation Formats

Too, Chow Wei, E-mail: toochowwei@gmail.com, Sayani, Raza, Lim, Elvin Yuan Ting, Leong, Sum, Gogna, Apoorva, and Teo, Terence K. REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN). United States: N. p., 2016. Web. doi:10.1007/S00270-016-1383-5.
Too, Chow Wei, E-mail: toochowwei@gmail.com, Sayani, Raza, Lim, Elvin Yuan Ting, Leong, Sum, Gogna, Apoorva, & Teo, Terence K. REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN). United States. doi:10.1007/S00270-016-1383-5.
Too, Chow Wei, E-mail: toochowwei@gmail.com, Sayani, Raza, Lim, Elvin Yuan Ting, Leong, Sum, Gogna, Apoorva, and Teo, Terence K. Mon . "REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)". United States. doi:10.1007/S00270-016-1383-5.
@article{osti_22645471,
title = {REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)},
author = {Too, Chow Wei, E-mail: toochowwei@gmail.com and Sayani, Raza and Lim, Elvin Yuan Ting and Leong, Sum and Gogna, Apoorva and Teo, Terence K.},
abstractNote = {PurposeTo describe a technique involving REcanalisation and Balloon-Oriented puncture for Re-insertion of dialysis catheter in Nonpatent central veins (REBORN) and to report long-term results.Materials and MethodsThis is a retrospective study of ten subjects in whom dialysis catheters were inserted using the REBORN technique from March 2012 to October 2014 and followed up till April 2016. Data on the duration of catheter usage, complications and reasons for removal were obtained. Seven patients had partially occluded lower internal jugular veins (IJV) recanalised in an antegrade fashion via a more cranial puncture. The balloon was then inflated at usual puncture site with an 18G needle. The collapsed balloon was cannulated with a guide wire, and both balloon and guide wire were advanced together into the superior vena cava. This was followed by tunnelled catheter placement using standard techniques. Two patients had catheters placed in the subclavian vein using a similar antegrade technique, and one patient had catheter placed via the left IJV following retrograde recanalisation from a right femoral puncture.ResultsMean duration of catheter use was 278 days (range 32–503). Three catheters were removed due to matured arteriovenous accesses. Four patients had successful catheter change over the same subcutaneous track due to catheter malfunction. One catheter was removed after 7 months because of sepsis. No complications were reported.ConclusionThe REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.},
doi = {10.1007/S00270-016-1383-5},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 8,
volume = 39,
place = {United States},
year = {2016},
month = {8}
}