Transhepatic PermCath for Hemodialysis

The establishment and maintenance of a reliable vascular access continues to be a problem in hemodialysis. We report a patient with end-stage lupus nephritis who had no alternative for vascular access and failed peritoneal dialysis. A vascular access device (PermCath, Quinton Instrument Co, Bothell,...

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Veröffentlicht in:American journal of kidney diseases 1994-10, Vol.24 (4), p.590-591
Hauptverfasser: Po, Christopher L., Koolpe, Harvey A., Allen, Steven, Alvez, Laura D., Raja, Rasib M.
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container_end_page 591
container_issue 4
container_start_page 590
container_title American journal of kidney diseases
container_volume 24
creator Po, Christopher L.
Koolpe, Harvey A.
Allen, Steven
Alvez, Laura D.
Raja, Rasib M.
description The establishment and maintenance of a reliable vascular access continues to be a problem in hemodialysis. We report a patient with end-stage lupus nephritis who had no alternative for vascular access and failed peritoneal dialysis. A vascular access device (PermCath, Quinton Instrument Co, Bothell, WA) was inserted using a transhepatic approach. There were no bleeding or thrombotic complications. The catheter was replaced once through the same track due to poor blood flow and reinserted once after 5 days due to infection. The patient has been doing well and receiving adequate dialytic therapy for over 1 year with this form of vascular access.
doi_str_mv 10.1016/S0272-6386(12)80218-6
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Dialysis management</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Liver</subject><subject>Lupus Nephritis - complications</subject><subject>Medical sciences</subject><subject>Renal Dialysis - instrumentation</subject><subject>Renal Dialysis - methods</subject><issn>0272-6386</issn><issn>1523-6838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUQIMotVY_odCFiC5Gc5NMklmJFLVCQcG6Dpk8aGSmU5Op0L932g7duskl3HNfB6Ex4HvAwB8-MREk41TyWyB3EhOQGT9BQ8gJzbik8hQNj8g5ukjpG2NcUM4HaCAKRiTwIbpZRL1KS7fWbTCTDxfrqW6XE9_EyczVjQ262qaQLtGZ11VyV30coa-X58V0ls3fX9-mT_PMMAZtlhvhpbSMae-pkZwJASVoy8AITC2hXlMmMQbrSPdKVlJJpNVOF0UJFNMRujn0XcfmZ-NSq-qQjKsqvXLNJinBhcypEB2YH0ATm5Si82odQ63jVgFWOz9q70ftjldA1N5P9xuhcT9gU9bOHqt6IV3-us_rZHTlOzsmpCNGKcGQQ4c9HjDXyfgNLqpkglsZZ0N0plW2Cf8s8gf23H-R</recordid><startdate>19941001</startdate><enddate>19941001</enddate><creator>Po, Christopher L.</creator><creator>Koolpe, Harvey A.</creator><creator>Allen, Steven</creator><creator>Alvez, Laura D.</creator><creator>Raja, Rasib M.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19941001</creationdate><title>Transhepatic PermCath for Hemodialysis</title><author>Po, Christopher L. ; Koolpe, Harvey A. ; Allen, Steven ; Alvez, Laura D. ; Raja, Rasib M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-5c7f88d44aff3c864771b1ad41c703d23fa348001de200184b3828daea99b1303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Anesthesia. 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subjects Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Catheters, Indwelling
Emergency and intensive care: renal failure. Dialysis management
Female
Humans
Intensive care medicine
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - therapy
Liver
Lupus Nephritis - complications
Medical sciences
Renal Dialysis - instrumentation
Renal Dialysis - methods
title Transhepatic PermCath for Hemodialysis
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