REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)
Purpose To 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 Methods This is a retrospective study of ten subjects in whom dialysis catheters were insert...
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Veröffentlicht in: | Cardiovascular and interventional radiology 2016-08, Vol.39 (8), p.1193-1198 |
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creator | Too, Chow Wei Sayani, Raza Lim, Elvin Yuan Ting Leong, Sum Gogna, Apoorva Teo, Terence K. |
description | Purpose
To 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 Methods
This 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.
Results
Mean 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.
Conclusion
The REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis. |
doi_str_mv | 10.1007/s00270-016-1383-5 |
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To 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 Methods
This 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.
Results
Mean 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.
Conclusion
The REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-016-1383-5</identifier><identifier>PMID: 27250355</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Aged, 80 and over ; BALLOONS ; Cardiology ; Catheterization - instrumentation ; Catheterization - methods ; Catheterization, Central Venous - instrumentation ; Catheterization, Central Venous - methods ; Catheters, Indwelling ; DIALYSIS ; Female ; Follow-Up Studies ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; PATIENTS ; Punctures ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Renal Dialysis - instrumentation ; Renal Dialysis - methods ; Retrospective Studies ; Technical Note ; Time Factors ; Ultrasound ; VASCULAR DISEASES ; VEINS ; WIRES</subject><ispartof>Cardiovascular and interventional radiology, 2016-08, Vol.39 (8), p.1193-1198</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-c68918726d6fc1206529fa84368ed915cfeefe1d6d58a9db4456068df63859073</citedby><cites>FETCH-LOGICAL-c400t-c68918726d6fc1206529fa84368ed915cfeefe1d6d58a9db4456068df63859073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-016-1383-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-016-1383-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27902,27903,41466,42535,51296</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27250355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22645471$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Too, Chow Wei</creatorcontrib><creatorcontrib>Sayani, Raza</creatorcontrib><creatorcontrib>Lim, Elvin Yuan Ting</creatorcontrib><creatorcontrib>Leong, Sum</creatorcontrib><creatorcontrib>Gogna, Apoorva</creatorcontrib><creatorcontrib>Teo, Terence K.</creatorcontrib><title>REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To 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 Methods
This 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.
Results
Mean 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.
Conclusion
The REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>BALLOONS</subject><subject>Cardiology</subject><subject>Catheterization - instrumentation</subject><subject>Catheterization - methods</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheters, Indwelling</subject><subject>DIALYSIS</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>PATIENTS</subject><subject>Punctures</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Renal Dialysis - instrumentation</subject><subject>Renal Dialysis - methods</subject><subject>Retrospective Studies</subject><subject>Technical Note</subject><subject>Time Factors</subject><subject>Ultrasound</subject><subject>VASCULAR DISEASES</subject><subject>VEINS</subject><subject>WIRES</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFu1DAQhi0EokvhAbggS1zKwTB2Ysc50mWBSlUXrQBxs1xnQl1l7cV2kPr2uKQULlw8B3__P9J8hDzn8JoDdG8ygOiAAVeMN7ph8gFZ8bYRDLT69pCsgHct41LyI_Ik52sALrWQj8mR6ISERsoV-bnbOBvs5LMtPgZqw0BP7TTFGNg2eQwFB_ppDq7MCekYE90hOwsZ0288jvSdt9NN9pmubbnCgon6QC9iONhS03Rdn2Qn-hV9yPRktznd7i5ePSWPRjtlfHY3j8mX95vP64_sfPvhbP32nLkWoDCndM91J9SgRscFKCn60eq2URqHnks3Io7IBzVIbfvhsm2lAqWHUTVa9tA1x-Tl0htz8SY7X9BduRgCumKEUK1sO16pk4U6pPhjxlzM3meH02QDxjkbrgFa6KSAv4X36HWcUz1gpbq-18B7qSvFF8qlmHPC0RyS39t0YziYW3VmUWeqOnOrzsiaeXHXPF_ucbhP_HFVAbEAuX6F75j-Wf3f1l9A-KG3</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Too, Chow Wei</creator><creator>Sayani, Raza</creator><creator>Lim, Elvin Yuan Ting</creator><creator>Leong, Sum</creator><creator>Gogna, Apoorva</creator><creator>Teo, Terence K.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20160801</creationdate><title>REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)</title><author>Too, Chow Wei ; Sayani, Raza ; Lim, Elvin Yuan Ting ; Leong, Sum ; Gogna, Apoorva ; Teo, Terence K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-c68918726d6fc1206529fa84368ed915cfeefe1d6d58a9db4456068df63859073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>BALLOONS</topic><topic>Cardiology</topic><topic>Catheterization - instrumentation</topic><topic>Catheterization - methods</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheterization, Central Venous - methods</topic><topic>Catheters, Indwelling</topic><topic>DIALYSIS</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>PATIENTS</topic><topic>Punctures</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Renal Dialysis - instrumentation</topic><topic>Renal Dialysis - methods</topic><topic>Retrospective Studies</topic><topic>Technical Note</topic><topic>Time Factors</topic><topic>Ultrasound</topic><topic>VASCULAR DISEASES</topic><topic>VEINS</topic><topic>WIRES</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Too, Chow Wei</creatorcontrib><creatorcontrib>Sayani, Raza</creatorcontrib><creatorcontrib>Lim, Elvin Yuan Ting</creatorcontrib><creatorcontrib>Leong, Sum</creatorcontrib><creatorcontrib>Gogna, Apoorva</creatorcontrib><creatorcontrib>Teo, Terence K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Too, Chow Wei</au><au>Sayani, Raza</au><au>Lim, Elvin Yuan Ting</au><au>Leong, Sum</au><au>Gogna, Apoorva</au><au>Teo, Terence K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN)</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>39</volume><issue>8</issue><spage>1193</spage><epage>1198</epage><pages>1193-1198</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To 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 Methods
This 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.
Results
Mean 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.
Conclusion
The REBORN technique allows for the preservation of central veins for future haemodialysis access, which can be challenging in patients requiring long-term dialysis.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27250355</pmid><doi>10.1007/s00270-016-1383-5</doi><tpages>6</tpages></addata></record> |
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source | MEDLINE; Springer Nature - Complete Springer Journals |
subjects | Aged Aged, 80 and over BALLOONS Cardiology Catheterization - instrumentation Catheterization - methods Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Catheters, Indwelling DIALYSIS Female Follow-Up Studies Humans Imaging Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine PATIENTS Punctures Radiology RADIOLOGY AND NUCLEAR MEDICINE Renal Dialysis - instrumentation Renal Dialysis - methods Retrospective Studies Technical Note Time Factors Ultrasound VASCULAR DISEASES VEINS WIRES |
title | REcanalisation and Balloon-Oriented Puncture for Re-Insertion of Dialysis Catheter in Nonpatent Central Veins (REBORN) |
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