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
Hauptverfasser: Too, Chow Wei, Sayani, Raza, Lim, Elvin Yuan Ting, Leong, Sum, Gogna, Apoorva, Teo, Terence K.
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container_end_page 1198
container_issue 8
container_start_page 1193
container_title Cardiovascular and interventional radiology
container_volume 39
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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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 &amp; 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. 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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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