NDT Advance Access originally published online on March 19, 2004
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Nephrol Dial Transplant (2004) 19: 1618-1621
Nephrol Dial Transplant Vol. 19 No. 6 © ERA-EDTA 2004; all rights reserved
Brief Report
Femoral and iliac vein stenoses after prolonged femoral vein catheter insertion
1Department of Nephrology and Transplantation Medicine and 2Department of Radiology, Wroclaw University of Medicine, Wroclaw, Poland
Correspondence and offprint requests to: Waclaw Weyde, MD, Department of Nephrology and Transplantation Medicine, Wroclaw University of Medicine, ul. Traugutta 57/59, 50-417 Wroclaw, Poland. Email: klinef{at}am.centrum.pl
Background/Aims. Catheterization of the femoral vein is a safe and recommended method of temporary access for haemodialysis. In some patients, however, because of the lack of other possibilities, it is necessary to maintain long-term femoral cannulation. The aim of the study was to evaluate the frequency of stenosis after prolonged femoral cannulation.
Methods. The 24 patients incorporated in the study were divided into two groups. Group 1 consisted of 10 end-stage kidney failure patients (four females and six males, aged 32–75 years, average 55.6±13.6 years) in whom femoral catheters were maintained for less than 2 weeks (5–14 days, average 9.3±3.6 days). Group 2 included 14 chronic haemodialysis patients (six females and eight males aged 23–65 years, average 49.5±13.27 years). The time of catheter maintenance ranged from 2 to 16 weeks (average 6.4±4.2 weeks). Femoral and iliac vein status was evaluated using magnetic resonance imaging.
Results. A feature of venous stenosis of both the femoral and iliac veins was disclosed in four patients in whom femoral cannulation lasted more than 4 weeks. There were no stenoses in group 1.
Conclusion. Long-term femoral cannulation for more than 4 weeks may be associated with a significant risk of stenosis in the femoral and/or external iliac veins.
Keywords: catheter insertion; femoral vein stenoses; haemodialysis; iliac vein stenoses
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  G. A. Antoniou, G. S. Georgiadis, V. D. Souftas, S. P. Deftereos, and M. K. Lazarides Reversal of Deep Vein Reflux After Successful Stenting in a Patient With Venous Hypertension After Thigh Access Graft Creation Vascular and Endovascular Surgery, January 1, 2008; 41(6): 547 - 550. [Abstract] [PDF]
|
|
|
|
 |
|
 A. E. Courtney, P. J. Ingram, and C. C. Doherty Delayed presentation of unusual arterial injury during femoral vein catheterization for haemodialysis access Nephrol. Dial. Transplant., March 1, 2006; 21(3): 796 - 798. [Full Text] [PDF]
|
|
|
|
|
|
N. Seyahi, A. Kahveci, M. R. Altiparmak, K. Serdengecti, and E. Erek Ultrasound imaging findings of femoral veins in patients with renal failure and its impact on vascular access Nephrol. Dial. Transplant., September 1, 2005; 20(9): 1864 - 1867. [Abstract] [Full Text] [PDF]
|
|