Unusual Malpositioning of Hemodialysis Catheter into the Hepatic Veins.
Summary of "Unusual Malpositioning of Hemodialysis Catheter into the Hepatic Veins."
Malpositioning of long-term hemodialysis catheter is a known complication that may lead to a gradual decline in blood flow. We report two rare catheter malpositions in the hepatic veins in two patients with end-stage renal disease in whom a dialysis catheter was inserted through the left external jugular vein and the right external jugular vein. Because of gradual reduction of catheters' blood flow, an angiography was performed, which confirmed catheters' tip positioning into the hepatic veins. The catheters were replaced in the correct site.
Affiliation
Surgical Department, General Hospital Agios Pavlos , Thessaloniki , Greece.
Journal Details
This article was published in the following journal.
Name: Renal failure
ISSN: 1525-6049
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22994243
- DOI: http://dx.doi.org/10.3109/0886022X.2012.723774
Medical and Biotech [MESH] Definitions
Hepatic Veins
Veins which drain the liver.
Budd-chiari Syndrome
A condition in which the hepatic venous outflow is obstructed anywhere from the small HEPATIC VEINS to the junction of the INFERIOR VENA CAVA and the RIGHT ATRIUM. Usually the blockage is extrahepatic and caused by blood clots (THROMBUS) or fibrous webs. Parenchymal FIBROSIS is uncommon.
Hepatic Veno-occlusive Disease
Liver disease that is caused by injuries to the ENDOTHELIAL CELLS of the vessels and subendothelial EDEMA, but not by THROMBOSIS. Extracellular matrix, rich in FIBRONECTINS, is usually deposited around the HEPATIC VEINS leading to venous outflow occlusion and sinusoidal obstruction.
Hemodialysis Units, Hospital
Hospital units in which care is provided the hemodialysis patient. This includes hemodialysis centers in hospitals.
Catheterization, Central Venous
Placement of an intravenous catheter in the subclavian, jugular, or other central vein for central venous pressure determination, chemotherapy, hemodialysis, or hyperalimentation.
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