Nephrol Dial Transplant (2002) 17: 134-136
© 2002 European Renal Association-European Dialysis and Transplant Association
Technical Report
A method to insert a haemodialysis catheter by parasternal access
1 Cardiosurgery Division, 2 Angiology and Vascular Surgery, 3 Haemodialysis Unit and 4 Teaching and Investigation, Medical Center ‘20 de Noviembre’, ISSSTE México D.F., México
Keywords: haemodialysis vascular access; permanent central venous catheter; superior vena cava
Introduction
In 1944 Kolff [1] developed the procedure of haemodialysis as a treatment for patients with renal failure. Haemodialysis relies on devices installed permanently, and used for repeated and easy access to the circulation. The establishment of these accesses has become a regular activity of vascular surgeons and nowadays such accesses are also used to deliver anticancer medication [2] and for total parenteral nutrition.
Sometimes, peritoneal dialysis is not possible because of frozen abdomen, the veins which surgeons usually use may become obliterated, or central (subclavian and jugular) veins may become occluded or narrowed. These make central access impossible and result in the exacerbation of the uraemic syndrome. Under these circumstances the need to create a new route of access becomes urgent. This paper describes an
Technique
Clinical case
Discussion
Notes
References
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