Approach to The Occluded Permanent Hemodialysis Catheter
Journal Title: Bagcilar Medical Bulletin - Year 2017, Vol 2, Issue 3
Abstract
Objective: Central venous catheterization (CVC) is a type of surgery that hemodialysis (HD) patients frequently undergo. Presently, permanent CVCs (pCVCs) are the alternative to vascular access for patients requiring long-term catheterization. Additionally, identification of the type of catheter has a great importance for the right intervention. Our study aims: The aim was to discuss the identification procedure of an HD catheter, whether it is permanent or temporary, by presenting an HD catheter case done by CVC. Case presentation: A 75-year-old female patient having a routine of 3 days/week HD treatment was admitted to the critical care unit. A nonfunctional HD catheter was present in the left subclavian vein. A new HD catheter was placed in the right subclavian vein and continuous renal replacement therapy with heparin was initiated. Radiography revealed an opacity with a size of around 3 cm detected at the tip of the nonfunctional catheter. The catheter was removed with an incision after an unsuccessful attempt of removal by pulling it out. Further investigation of the catheter revealed that it was occluded. Conclusion: It is crucial to determine whether the catheter is temporary or permanent in order to do the right intervention and not to have unwanted consequences while removing a nonfunctional HD catheter.
Authors and Affiliations
Kerem Erkalp, Mehmet Salih Sevdi, Serdar Demirgan, Melike Cagatay
Keywords
Related Articles
- EP ID EP50369
- DOI 10.5350/BMB20170907045854
- Views 209
- Downloads 0
Effect of Nasopharyngeal Irrigation on Early Eustachian Tube Functions in Patients Undergoing Adenoidectomy: A Clinical Prospective Study
Objective: The hypertrophic adenoid tissue can cause to eustachian tube dysfunction by mechanical or inflammatory effect both of which block the nasopharyngeal ostium of the eustachian tube. Adenoidectomy, with or withou...
A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic
Objective: Acute pancreatitis (AP) is the rapid inflammation of the pancreas which may be life threatening, even though the disease course may range from mild to severe. We sought to investigate the characteristics of ca...
Endoscopic Cystolithotripsy for a Giant Stone in The Orthotopic Neobladder: A Case Report
Radical cystectomy and urinary diversion is an excellent treatment option for invasive bladder cancer. Ileal conduit and orthotopic neobladder have been applied as the most frequent urinary diversion methods for many yea...
Assessment of the Quality and Reliability of the Information on Bone Tumor on Youtube
Objective: Our aim is to assess the content quality and reliability of Youtube videos on bone tumors. Method: We searched Youtube using the keyword “bone tumors,” and included the first 50 videos listed in our study. Tw...
Cutaneous Metastasis from Squamous Cell Carcinoma of The Bladder: A Case
Objective: To report a case with cutaneous metastasis of bladder squamous cell carcinoma. Very few cases of skin metastases from the urinary bladder are reported in the literature. Case report: Cutaneous metastasis of b...