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212872

Midterm Results of Tunneled Catheter Placement in Hemodialysis Patients with Central Venous Stenosis or Occlusion

Article

Last updated: 23 Jan 2023

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Abstract

Background: Patients who suffers from central venous occlusion (CVO) or central venous stenosis (CVS) with no
options for vascular access (VA) need urgent HD.
Purpose: To evaluate CVO or CVS endovascular veinoplasty through an occluded access site to insert tunnelled
catheter for HD.
Patients and methods: Patients included had no options for VA and had CVO or CVS.
Results: 124 patients on HD had endovascular veinoplasty. Technical success was 100% and 79% for CVS and
CVO. Mean follow-up period was 36.16±12.6 months. Primary catheter site patency was 70%, 40%, 20%, and 5%
after one, two, three, and four years. Assisted primary catheter site patency was 77%, 45%, 27%, and 12% and
access vein survival was 100%, 80%, 40%, and 15% respectively at one, two, three, and four years, respectively.
Conclusion: Recanalizing occluded veins for catheter insertion is simple, cost-effective, and safe.

DOI

10.21608/asjs.2021.212872

Keywords

Tunnelled catheter, central venous occlusion, veinoplasty

Authors

First Name

Hassan

Last Name

Lotfy

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Alexandria University, Egypt

Email

hassan.lotfy@alexmed.edu.eg

City

-

Orcid

0000-0001-9437-5898

First Name

Aly

Last Name

Elemam

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Wael

Last Name

Shaalan

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Alexandria University, Egypt

Email

wshaalan@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

El Mahdi

MiddleName

M.

Affiliation

Vascular Surgery Department, Faculty of Medicine, Helwan University, Egypt

Email

aelmahdi@hotmail.com

City

-

Orcid

-

First Name

Akram

Last Name

Ibrahim

MiddleName

-

Affiliation

Faculty of Medicine, Alexandria University, Medical Student, Egypt

Email

akramhibrahim@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Naga

MiddleName

-

Affiliation

Department of Vascular Surgery, Faculty of Medicine, Alexandria University, Egypt

Email

ahmadnaga29@gmail.com

City

-

Orcid

-

Volume

14

Article Issue

1

Related Issue

29932

Issue Date

2021-07-01

Receive Date

2022-01-05

Publish Date

2021-07-01

Page Start

45

Page End

56

Print ISSN

2090-7249

Article File

ASJS_Volume 14_Issue 1_Pages 45-56.pdf

PDF . 825.2kB

Link

https://asjs.journals.ekb.eg/article_212872.html

Detail API

https://asjs.journals.ekb.eg/service?article_code=212872

Order

6

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

23 Jan 2023