Search Our Scientific Publications & Authors

J Vasc Access 2020 Jun 2:1129729820926081. Epub 2020 Jun 2.

Division of Nephrology, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Vascular access is necessary for hemodialysis, and in some cases where it is difficult to establish an arteriovenous fistula or arteriovenous graft, a permanent hemodialysis catheter may be used. However, serious catheter-related complications, such as central vein stenosis or thrombosis, can occur. We herein present a case of complete brachiocephalic vein obstruction in a patient with lupus nephritis receiving hemodialysis using a tunneled hemodialysis catheter. Read More

J Vasc Access 2020 May 5:1129729820918460. Epub 2020 May 5.

Monash Children's Hospital, Melbourne, VIC, Australia.

Paediatric central venous access devices are associated with significant complications. Failure rates have been estimated to be as high as 25%, with securement failure a significant contributing factor. In this study, we evaluate the use of a subcutaneous securement device, securAcath, in minimising rates of central venous access device dislodgement and unintended early removal within a paediatric population. Read More

Int J Environ Res Public Health 2020 Apr 27;17(9). Epub 2020 Apr 27.

Department of Nephrology and Internal Medicine, Institute of Medical Sciences, University of Opole, 45-052 Opole, Poland.

Background: Optimal care of patients treated with a central tunneled catheter (CTC) as vascular access for hemodialysis requires a number of procedures. One of them is CTC removal, usually carried out using mostly the cut-down method (CDM) and the traction method (TM). The procedure seems to be simple and safe; however, occasionally, serious complications may occur. Read More

Medicine (Baltimore) 2020 Apr;99(15):e19805

Department of Nephrology, Chongqing Renji Hospital University of Chinese Academy of Sciences, Chongqing, China.

Rationale: The percutaneous catheterization of central veins is widely applied in patients with end-stage renal diseases as a permanent vascular access. To our knowledge, inadvertent placement of a hemodialysis catheter into the azygos vein through the left internal jugular vein is not described.

Patient Concerns: A 72-year-old female patient was admitted to the hospital for replacement of another new tunneled hemodialysis catheter due to poor flow in the left internal jugular vein tunneled catheter during hemodialysis. Read More

J Vasc Access 2019 Dec 10:1129729819891336. Epub 2019 Dec 10.

Kidney Disease and Blood Purification Treatment Department, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.

Introduction: Central venous catheter insertion for long-term vascular access is not recommended in clinical practice. However, since arteriovenous fistula creation is difficult to perform in some patients, central venous catheter insertion for long-term vascular access is performed. This study aimed to assess the complications and service time of central venous catheters replaced using different methods and to determine the influencing factors of service time. Read More

Am J Kidney Dis 2020 Apr 29;75(4):480-487. Epub 2019 Nov 29.

Department of Nephrology, Medical University of Vienna, Vienna, Austria.

Rationale & Objective: Left-sided internal jugular and all subclavian central venous catheters (CVCs) cause thoracic central vein occlusions (TCVOs) more often than right-sided internal jugular catheters. To enable right-sided CVC placement in patients with TCVO, an inside-out access (IOA) approach was established at 3 vascular access centers in Europe involving use of a novel IOA device advanced from the right femoral vein. In the current analysis, we assessed the eligibility and success rate of this IOA approach in a cohort of patients with TCVO requiring a tunneled dialysis catheter. Read More

Ther Apher Dial 2019 Nov 15. Epub 2019 Nov 15.

Division of Nephrology and Dialysis Center, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan.

It remains unclear which vascular access provides better survival in hemodialysis patients with heart failure, superficialization of the brachial artery (SBA), or tunneled central venous catheter (TCVC). We retrospectively followed up 60 hemodialysis patients with heart failure who underwent SBA (n = 36) or TCVC placement (n = 24). During the median 2. Read More

Anesth Analg 2020 04;130(4):1026-1034

From the Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.

Background: Central line insertion is a core skill for anesthesiologists. Although recent technical advances have increased the safety of central line insertion and reduced the risk of central line-associated infection, noninvasive hemodynamic monitoring and improved intravenous access techniques have also reduced the need for perioperative central venous access. We hypothesized that the number of central lines inserted by anesthesiologists has decreased over the past decade. Read More

J Bras Nefrol 2020 Mar 24;42(1):53-58. Epub 2019 Oct 24.

Hospital Monsenhor Walfredo Gurgel, Natal, RN, Brasil.

Introduction: Invasive procedures performed by trained nephrologists can reduce delays in making a definitive vascular access, complications, number of procedures on the same patient, and costs for the Public Health System.

Objective: to demonstrate that a long-term tunneled central venous catheter (LTCVC) implanted by a nephrologist is safe, effective, and associated with excellent results.

Methods: A retrospective study analyzed 149 consecutively performed temporary-to-long-term tunneled central venous catheter conversions in the operating room (OR) from a dialysis facility from March 2014 to September 2017. Read More

Blood Purif 2020 2;49(1-2):63-70. Epub 2019 Oct 2.

Division of Nephrology, Kidney Research Laboratory, West China Hospital of Sichuan University, Chengdu, China,

Objectives: Current studies suggest arteriovenous fistula (AVF) and arteriovenous graft as superior vascular access (VA) types for elderly hemodialysis (HD) patients due to better outcomes. This study aimed to examine the impact of VA type on cardiovascular and all-cause mortality as well as the predictors for outcome in elderly Chinese patients.

Methods: Patients who initiated HD aged ≥70 years and received a primary VA creation at the West China Hospital were enrolled in this retrospective study. Read More

Transfusion 2019 11 4;59(11):3461-3467. Epub 2019 Sep 4.

Department of Laboratory Medicine and Pathology, Mayo Clinic Arizona, Phoenix, Arizona.

Background: Patients requiring chronic apheresis treatments typically lack sufficient peripheral venous access to support long-term therapy. Historically, central venous tunneled catheters, septum-bearing subcutaneous ports, and fistulas were used to obtain required blood flow rates for apheresis procedures. In 2017, the US Food and Drug Administration approved the first intravascular device specifically designed for apheresis therapy, the PowerFlow Implantable Apheresis IV Port. Read More

Pol Przegl Chir 2019 Jun;91(4):19-23

Department of Surgery, Medical University, Pleven, Bulgarian.

Purpose: Insertion of temporary and tunneled catheters for hemodialysis in the internal jugular vein is a "gold standard". On the other hand, the supraclavicular approach to the subclavian vein was described by Yoffa in 1965. Despite its old invention, the latter technique has been well forgotten for unknown reasons. Read More

Ann Vasc Surg 2020 Jan 30;62:142-147. Epub 2019 Aug 30.

Division of Vascular Surgery, Department of Surgery, University of California, Los Angeles, Los Angeles, CA.

Background: Black patients with end-stage renal disease (ESRD) represent 30.5% of the prevalent ESRD population in the United States, despite only accounting for 18% of the total population. Black patients are less likely to have pre-ESRD care compared with their white counterparts and are 3-4 times more likely to progress from chronic kidney disease to ESRD than whites, suggesting that black patients are particularly vulnerable to disparities in outcomes related to hemodialysis and ESRD. Read More

Pan Afr Med J 2018 3;31:218. Epub 2018 Dec 3.

Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo state, Nigeria.

Introduction: vascular access is an important aspect of haemodialysis treatments and determinant of patient outcomes. Arteriovenous (AV) fistula has been described as the preferred haemodialysis vascular access for patients on chronic dialysis. There continues to be a challenge with the creation of AV fistula, due to shortage of vascular surgeons skilled in the AV fistula creation particularly in source limited setting. Read More

J Vasc Access 2020 Mar 4;21(2):186-194. Epub 2019 Aug 4.

Department of Cardiovascular Surgery, Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX, USA.

Objective: In complex dialysis patients, central venous stenosis may preclude additional upper extremity access options. The Hemodialysis Reliable Outflow graft (Merit Medical Systems, Inc.) can bypass this stenosis providing patients with an additional upper extremity long-term access option. Read More

Urol J 2019 Dec 24;16(6):578-580. Epub 2019 Dec 24.

Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Purpose: Due to high prevalence of diabetes mellitus and subsequent nephropathy, the need for access to start and continue dialysis has been increased. In this study, we aim to study the efficacy and complications of non-tunneled catheters (NTC) till fistula maturation because of being easy and cheap implementation as well as similar complications compared to tunneled catheters (TC).

Materials And Methods: In this retrospective observational study, 247 patients with first-time AVF creation referred to Vascular Surgery Centre of Mashhad University of Medical Sciences, Iran, were recruited since March 2016 to December 2017. Read More

J Vasc Surg Cases Innov Tech 2019 Sep 9;5(3):350-355. Epub 2019 Jul 9.

Greenville Health System, Greenville, SC.

The "inside-out" technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access. Few reports of its use in vascular surgery exist. The purpose of this article is to describe our version of the technique and report results. Read More

Front Pediatr 2019 25;7:260. Epub 2019 Jun 25.

Children's Hospital, Pediatric Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Central venous access devices (CVAD) provide important benefits in the management of oncological pediatric patients. However, these catheters are responsible for severe complications. In this context, we aimed to analyze all patients receiving a CVAD in the Department of Pediatric Hematology and Oncology of the University hospital of Mainz over a period of 9 years, focused on CVAD related complications. Read More

J Vasc Surg 2019 11 21;70(5):1629-1633. Epub 2019 Jun 21.

Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.

Objective: The effect that ipsilateral tunneled dialysis catheters (TDC) have on arteriovenous fistula (AVF) maturation is unclear. We sought to define this association by comparing AVF maturation rates in patients with contralateral TDC with those with ipsilateral TDC.

Methods: A review of a prospectively maintained database including all AVF creation procedures between 2009 and 2016 was performed. Read More

J Vasc Access 2019 Sep 13;20(5):567-569. Epub 2019 Jun 13.

1 Nephrology Department, Coimbra University Hospital, Coimbra, Portugal.

Introduction: Vascular access for hemodialysis is a key factor in every patient dependent on this treatment. Maintaining a central venous catheter can be a good choice when all the other options have been exhausted, but unwanted and rare complications may arise from longer catheter dwell time.

Case Report: We describe a case of a 65-year-old woman undergoing hemodialysis treatment since 1986 after a bilateral nephrectomy due to complicated nephrolithiasis. Read More

J Vasc Nurs 2019 Jun 8;37(2):132-134. Epub 2019 Jan 8.

Department of Nursing, Professor of Nurse Anesthesiology and Vascular Access, National and Kapodistrian University of Athens, Athens, Greece. Electronic address:

Tunneled peripherally inserted central catheters (PICCs) offer several advantages such as an exit site at the green zone no matter where the puncture point is and a long subcutaneous route, which is considered a shield against infections and provides comfort to the patient. Clinicians could choose the proper exact exit site so as to avoid blood leakage from the exit point. The aim of the study was to assess the value of the tunneled PICCs versus normal PICCs with no long subcutaneous route. Read More

J Vasc Surg 2019 10 27;70(4):1235-1241. Epub 2019 May 27.

Division of Vascular Surgery, Department of Surgery, University of California, Los Angeles, Los Angeles, Calif.

Background: Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access creation, and time to repeat vascular access.

Methods: The Optum Clinformatics Data Mart claims database was queried from 2011 to 2017 for patients who initiated hemodialysis with a THC. Time from initial arteriovenous fistula (AVF)/graft (AVG) to THC removal and time to repeat AVF/AVG were analyzed using Cox proportional hazards. Read More

J Vasc Access 2019 Nov 6;20(6):697-700. Epub 2019 May 6.

Renal Department, Kenyatta National Hospital, Nairobi, Kenya.

Introduction: The objective of our study was to document the level of preparedness for renal replacement therapy assessed by incident hemodialysis vascular access and the access at least 3 months after initiation of hemodialysis at Kenyatta National Hospital, Nairobi.

Methods: Between June and July 2018, we carried out a cross-sectional descriptive study on the preparedness for hemodialysis by patients who were on chronic hemodialysis in the Kenyatta National Hospital Renal Department. Sociodemographic, medical history, duration of follow-up, and state of preparedness parameters were obtained through interview and entered into the questionnaire. Read More

J Vasc Access 2019 May;20(1_suppl):15-19

9 Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea St. Vincent Hospital, Suwon, Korea.

The prevalence rate and the incidence rate of hemodialysis and functioning kidney transplant recipients have continuously increased; on the contrary, those of peritoneal dialysis have continuously decreased since 2006. Dialysis patients have been getting older and have been maintained on dialysis longer. Diabetic nephropathy was the leading cause of end stage renal disease. Read More

Contemp Clin Trials Commun 2019 Jun 9;14:100357. Epub 2019 Apr 9.

Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Timely placement of an arteriovenous (AV) vascular access (native AV fistula [AVF] or prosthetic AV graft [AVG]) is necessary to limit the use of tunneled central venous catheters (TCVC) in patients with end-stage kidney disease (ESKD) treated with hemodialysis (HD). National guidelines recommend placement of AVF as the AV access of first choice in all patients to improve patient survival. The benefits of AVF over AVG are less certain in the older adults, as age-related biological changes independently modulate patient outcomes. Read More

J Vasc Access 2019 Nov 3;20(6):771-777. Epub 2019 Apr 3.

Interventional Radiology Unit, Department of Radiology, School of Medicine, University of Crete, Heraklion, Greece.

Purpose: Central venous catheters or "venous access devices" include totally implantable venous access devices or "ports," peripherally inserted central catheters, and tunneled lines. Venous access devices are now the standard of care in patients requiring long-term intravenous drug administration. Arm venous access device placement is a valuable option for vascular access yet often complicated or rendered practically impossible by the condition and size of peripheral veins. Read More

Cureus 2019 Jan 19;11(1):e3915. Epub 2019 Jan 19.

Internal Medicine, King Edward Medical University / Mayo Hospital, Lahore, PAK.

End-stage renal disease (ESRD) is one of the most feared consequences of kidney disease. A large number of patients with ESRD require long-term hemodialysis. Vascular access options for hemodialysis include the placement of arteriovenous (AV) fistulas, AV grafts, and tunneled dialysis catheters (TDCs). Read More

J Vasc Surg 2019 04;69(4):1282-1292

Center for Evidence-Based Health Care, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan; Department of Medical Research, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan; Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan; Division of General Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

Objective: Patients with end-stage renal disease need vascular access to ensure sufficient blood flow during hemodialysis (HD). Patients who are poor candidates for arteriovenous access creation require long-term catheter placement. Problems such as dialysate recirculation, thrombosis, catheter-related infections, and malfunction can occur with HD catheters. Read More

J Vasc Surg 2019 Jul 17;70(1):199-207.e4. Epub 2019 Mar 17.

Nephrology and Dialysis Unit, USL Toscana Nord Ovest-Versilia Hospital, Lido di Camaiore, Lucca, Italy.

Objective: The arteriovenous fistula (AVF) is recommended as the preferred hemodialysis access. However, placing an AVF in all patients may result in poor access outcomes and increased central venous catheter (CVC) use because of increased comorbid conditions, age, and suboptimal vessels. In patients with inadequate superficial veins for AVFs, the use of the brachial veins for creation of forearm arteriovenous grafts (AVGs) has received limited attention. Read More

Adv Chronic Kidney Dis 2019 01;26(1):16-22

Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI.

Infection-related causes are second only to cardiovascular events for mortality among end-stage renal disease patients. This review will provide an overview of hemodialysis catheter-, graft-, and fistula-related infections with emphasis on diagnosis and management in specific settings. Use of catheters at the initiation of dialysis has remained unchanged at 80%. Read More

Cardiorenal Med 2019 27;9(3):135-144. Epub 2019 Feb 27.

Nephrology Division, University of Naples - "Luigi Vanvitelli" - Medical School, Naples, Italy,

The appropriate vascular access for hemodialysis in patients with cardiac implantable electronic devices (CIED) is undefined. We describe two cases of end-stage renal disease patients with CIED and tunneled central venous catheter (CVC) who developed venous cava stenosis: (1) a 70-year-old man with sinus node disease and pacemaker in 2013, CVC, and a Brescia-Cimino forearm fistula in 2015; (2) a 75-year-old woman with previous ventricular arrhythmia with implanted defibrillator in 2014 and CVC in 2016. In either case, after about 1 year from CVC insertion, patients developed superior vena cava (SVC) syndrome due to stenosis diagnosed by axial computerized tomography. Read More

J Pediatr Surg 2019 May 6;54(5):999-1004. Epub 2019 Feb 6.

Division of Pediatric General and Thoracic Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada. Electronic address:

Purpose: Prolonged central vascular access is a source of significant morbidity in children with intestinal failure (IF). In an effort to decrease morbidity, our multidisciplinary IF team has primarily used peripherally inserted central catheters (PICCs) for these patients. We compared outcomes of PICCs to Broviacs®. Read More

Clin J Am Soc Nephrol 2019 03 14;14(3):378-384. Epub 2019 Feb 14.

West London Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare National Health Service Trust, London, UK

Background And Objectives: Central venous catheters have traditionally provided access for urgent hemodialysis, but are also sometimes advocated as an option for older or more comorbid patients. Adverse effects of this type of dialysis access include central venous stenosis, for which the risk factors and consequences are incompletely understood.

Design, Setting, Participants, & Measurements: We conducted two studies within the same population cohort, comprising all patients starting hemodialysis in a single center from January 2006 to December 2013. Read More

Blood Purif 2019 14;48(1):1-9. Epub 2019 Feb 14.

Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, China,

Background: Central venous catheter (CVC) is commonly used to provide access for hemodialysis (HD) when arteriovenous access is not available. The misplacement of CVC into azygos vein (AV) is a rare but a potential serious complication. Previous reports communicated the opinion that left-sided catheterization predisposed to AV misplacement, but these reports concentrated on peripherally inserted CVCs, placed for indications rather than HD. Read More

G Ital Nefrol 2019 Feb;36(1)

BEL - Bioengineering Laboratories Cantù.

Catheter related bloodstream infections (CRBSI) represent a complication that often requires hospitalization and the use of economic resources. In Italy, there is no literature that considers the costs of CRBSI for tunneled catheters (CVCt). The aim of this work is to evaluate the relative costs of CRBSI through the DRG system. Read More

Am J Kidney Dis 2019 04 12;73(4):467-475. Epub 2019 Jan 12.

Division of Nephrology, Department of Medicine, London Health Sciences Centre, London; Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Canada. Electronic address:

Rationale & Objective: Clinical practice guidelines discourage the use of central venous catheters (CVCs) for vascular access in dialysis. However, some patients have inadequate vessels for arteriovenous fistula creation or choose to use a dialysis catheter. The risks associated with CVC use and their relationship to patient age are poorly characterized. Read More

J Vasc Access 2019 May 31;20(1_suppl):20-23. Epub 2018 Dec 31.

Hemodialysis Department, Bach Mai Hospital, Hanoi, Vietnam.

A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. Read More

BMC Infect Dis 2018 Dec 20;18(1):688. Epub 2018 Dec 20.

Department of Medicine, Zealand University Hospital, Roskilde, Denmark.

Background: The mortality following blood stream infection (BSI) and risk of subsequent BSI in relation to dialysis modality, vascular access, and other potential risk factors has received relatively little attention. Consequently, we assessed these matters in a retrospective cohort study, by use of the Danish nation-wide registries.

Methods: Patients more than 17 years of age, who initiated dialysis between 1. Read More

J Vasc Surg 2019 03 24;69(3):883-889. Epub 2018 Oct 24.

Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.

Background: No independent comparisons, with midterm follow-up, of standard arteriovenous grafts (SAVGs) and immediate-access arteriovenous grafts (IAAVGs) exist. The goal of this study was to compare "real-world" performance of SAVGs and IAAVGs.

Methods: Consecutive patients who underwent placement of a hemodialysis graft between November 2014 and April 2016 were retrospectively identified from the electronic medical record and Vascular Quality Initiative database at two tertiary centers. Read More

J Vasc Access 2019 Jul 13;20(4):380-385. Epub 2018 Nov 13.

1 Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.

Purpose: To assess the ability of various clinical factors to predict infection or dysfunction of tunneled hemodialysis catheters.

Methods: A retrospective review of all adult patients who had a tunneled hemodialysis catheter placed between 2012 and 2016 was performed. Tunneled hemodialysis catheters were considered infected based on clinical suspicion or culture-positive bacteremia. Read More

Hemodial Int 2018 10 8;22(S2):S75-S82. Epub 2018 Nov 8.

Division of Nephrology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.

Tunneled central venous catheters used for the provision of hemodialysis are associated with excess morbidity and mortality. Catheter related exit site and blood stream infections are major risks of their use. Although catheter-avoidance is the best strategy to reduce infections and mortality in the hemodialysis population, the use of catheters remains unacceptably high. Read More

Ann Vasc Dis 2018 Sep;11(3):292-297

Vascular Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore.

: To review the outcomes of central venoplasty in the treatment of symptomatic central vein stenosis in patients undergoing haemodialysis via an ipsilateral arteriovenous fistula (AVF). : Data were collected retrospectively, and included all the consecutive cases of central venoplasty between January 2008 and December 2015. : A total of 132 central venoplasties in 76 patients were performed, with incidence of symptomatic central vein stenosis at 7. Read More

Nutrition 2019 02 11;58:89-93. Epub 2018 Jul 11.

Department of Endocrinology and Nutrition, Hospital Universitario Ramón y Cajal, Madrid, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición, Madrid, Spain. Electronic address:

Objective: Home parenteral nutrition (HPN) has become a common therapy, with tunneled central venous catheters (CVCs) being the preferred route of administration. Peripherally inserted central catheters (PICCs) have been used increasingly, but whether they should be preferred over other types of CVCs is still controversial. The aim of this study was to evaluate catheter-related complications of CVC in patients receiving HPN. Read More

Blood Purif 2019 25;47(1-3):132-139. Epub 2018 Oct 25.

Background: The literature on the outcomes of tunneled femoral catheters compared to that of jugular catheters is scarce and derived mainly from small cohorts.

Material And Methods: Seven hundred and sixty six catheters were placed in 673 hemodialysis patients, 622 in the jugular/subclavian veins and 144 in the femoral veins. Patients were followed prospectively for 36 months. Read More

Turk J Pediatr 2018 ;60(2):221-224

Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.

Ateş U, Taştekin NY, Mammadov F, Ergün E, Göllü G, Can ÖS, Uçar T, Bingöl-Koloğlu M, Yağmurlu A, Aktuğ T. Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance. Turk J Pediatr 2018; 60: 221-224. Read More

J Pediatr Surg 2019 Aug 13;54(8):1675-1679. Epub 2018 Sep 13.

Section of Pediatric Surgery, Department of Surgery, Michigan Medicine, C.S. Mott Children's Hospital, Ann Arbor, MI, USA 48109; Division of Interventional Radiology, Department of Radiology, Michigan Medicine, Ann Arbor, USA 48109.

Background: Use of ultrasound-guidance for central venous access in adults is the standard of care. There is, however, less clarity in the role of routine ultrasound use in obtaining venous access in children. We sought to evaluate safety and efficiency of the placement of central lines utilizing an ultrasound-guided approach compared to the traditional, landmark approach in pediatric patients. Read More

J Bras Nefrol 2019 Jan-Mar;41(1):89-94. Epub 2018 Sep 21.

Universidade Federal do Rio Grande do Norte, Divisão de Nefrologia, Natal, RN, Brasil.

Introduction: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. Read More

Blood Purif 2019 17;47(1-3):58-61. Epub 2018 Sep 17.

Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute, San Bortolo Hospital, Vicenza, Italy.

In most situations, central catheters are implanted in the right jugular vein as initial access for hemodialysis. However, after repeated punctures, the proximal vessels become stenosed and thrombosed and misplacement is likely to occur. Correct catheter position in the vein can be easily ascertained with X-ray or cross-sectional CT imaging. Read More

Zhonghua Er Ke Za Zhi 2018 Sep;56(9):657-661

Department of Nephrology and Rheumatology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China.

To summarize the characteristics of cuffed-tunneled catheters insertion and investigate the values of cuffed-tunneled catheters in pediatric patients. Between March 2015 and July 2017, all the pediatric patients who received maintenance hemodialysis at least 3 consecutive months in our center were included. Sixteen cuffed-tunneled hemodialysis catheters were inserted in patients for long-term hemodialysis access. Read More