Palabras clave
catéteres
diálisis renal
insuficiencia renal crónica.
diálisis renal
insuficiencia renal crónica.
Cómo citar
1.
Restrepo Valencia CA, Aguirre Arango JV, Buitrago Villa CA. ¿Catéteres femorales tunelizados para hemodiálisis, su longitud hace diferencia?. Rev. Colomb. Nefrol. [Internet]. 9 de agosto de 2018 [citado 3 de julio de 2024];5(2):137-45. Disponible en: https://revistanefrologia.org/index.php/rcn/article/view/304
Resumen
Objetivo: establecer si la implantación de catéteres femorales tunelizados de 23 cm genera mejores resultados que los de 19 cm.
Pacientes, materiales y métodos: pacientes con enfermedad renal crónica estadio 5, en los que se agotaran todos los accesos vasculares, siendo la vena femoral su última alternativa. En ellos se compararon los resultados en cuanto a eficiencia y complicaciones de implantar catéteres con diferente longitud.
Resultados: durante 103 meses (de febrero del 2009 a septiembre del 2017), 30 catéteres femorales tunelizados fueron implantados en 19 pacientes; 15 en cada grupo, edad promedio de los pacientes 56,3 años, 13 (68,4%) hombres. Los dos catéteres con diseño semejante, pero diferente longitud dieron lugar a resultados parecidos en cuanto a tiempo de funcionamiento, complicaciones y motivo de retiro.
Conclusiones: sugerimos que los catéteres femorales tunelizados para hemodiálisis deben de tener longitudes entre 28 a 55 cm (del retenedor a la punta) para lograr una mayor eficiencia, longitud suficiente que permita alcanzar territorios cercanos a la aurícula derecha.
Citas
1. Polkinghorne KR, McDonald SP, Atkins RC, Kerr PG. Vascular access and all-cause mortality: a propensity score analysis. J Am Soc Nephrol. 2004;15:477-486.
2. Astor BC, Eustace JA, Powe NR, Klag MJ, Fink NE, Coresh J; CHOICE Study. Type of vascularS access and survival among incident hemodialysis patients: the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. J Am Soc Nephrol. 2005;16:1449-1455.
3. Situación de la enfermedad renal crónica en Colombia 2015. www. cuentadealtocosto.org/
4. Restrepo CA, Chacon JA, Villota DM. Safety related to the implantation of jugular catheters for hemodyalisis and usefulness of PA chest X rays post procedure. Acta Med Colomb 2008; 33: 68-74.
5. Restrepo Valencia CA, Buritica Barragan CM. Implanting haemodialysis catheters in the brachiocephalic vein: a little-used approach. Nefrología 2009; 29: 354-357.
6. Restrepo Valencia CA. Axillary catheter for hemodialysis, an alternative vascular access. Nefrología 2008; 28: 77-81.
7. Restrepo Valencia CA, Buitrago Villa CA, Chacon Cardona JA. Hemodialysis catheter implantation in the axillary vein by ultrasound guidance versus palpation or anatomical reference. Int J Nephrol Renovasc Dis. 2013; 6:215-221.
8. Restrepo Valencia CA, Buritica Barragan CM, Arango A. Catheter in the superior vena cava for hemodialysis as a last resort in superior hemithorax. Nefrología 2010; 30: 463-466.
9. Pereira M, Lopez N, Godinho I, Jorge S, Nogueira E, Neves F, Fortes A, Costa AG. Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis. J Bras Nefrol 2017; 39: 36-41.
10. Cesar A. Restrepo V (2012). Unusual Vascular Access for Hemodialysis Therapies, Chronic Kidney Disease, Prof. Monika Gö?z (Ed.), InTech, DOI: 10.5772/25361. Available from: https://www.intechopen.com/books/chronic-kidney-disease/unusual-vascular-access-for-hemodialysis-therapies.
11. Budruddin M, Mohsin N, Amitabh J, Ehab M, Pramod K, Abbas P, Khalil M, Al-Lawati S. Femoral Vein Tunneled Catheters as a Last Resort to Vascular Access: Report of Five Cases and Review of Literature. Renal Failure 2009; 31:320–322.
12. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical practice guideline for acute kidney injury. Kidney Int Suppl, 2012;2:1–138.
13. Huriaux L, Costille P, Quintard H, Journois D, Kellum JA, Rimmelé T. Haemodialysis catheters in the intensive care unit. Anaesth Crit Care Pain Med. 2016 Nov 29. pii: S2352-5568(16):30222-3.
https://doi.org/10.1016/j.accpm.2016.10.003. [Epub ahead ofprint]
14. Pichereau C, Ait-Oufella H, Maury E, Guidet B: Unusual misplacement of a femoral central venous catheter. Intensive Care Med 2011;37: 1714–1715.
15. Arias-Verdu D, Seller-Pérez G, Herrera Gutiérrez M E. Anomalous position of femoral dialysis catheters. Med Intensiva 2017: 41: 262.
16. Reddy M H K, Sangeetha B, Aruna M, Chandra V S, Anil C, Kumar A C V, Ram R, Sivakumar V. Phlegmasia cerulean dolens: complication of femoral vein catheterization. CEN Case Rep 2016; 5:184–187.
17. Sirvent AE, Enriquez R, Millan I, Garci-Marco JM, Rodriguez-Czaplicki E, Redondo-Pachon MD, Gonzales C, Amoros F. Severe hemorrhage because of delayed iliac vein rupture after dialysis catheter placement: is it preventable? Hemodial Int 2012;16: 315-319.
18. Svantner J, Eckert P, Ben?Hamouda N. Rare complication of femoral venous catheter malposition: abdominal compartment síndrome. Intensive Care Med 2017. https://doi.org/10.1007/s00134-017-4893-y
19. Weyde W, Badowski R, Krajewska M, Penar J, Moron K, Klinger M. Femoral and iliac vein stenoses after prolonged femoral vein catheter insertion. Nephrol Dial Transplant. 2004; 6:1618–1621.
20. Zaleski GX, Funaki B, Lorenz JM, Garofalo RS, Moscatel MA, Rosenblumb JD, Leef JA. Experience with tunneled femoral hemodialysis catheters. AJR Am J Roentgenol 1999; 172: 493–496.
21. Chow KM, Szeto CC, Leung CB, Wong TY, Li PK. Cuffed- tunneled femoral catheter for long-term hemodialysis. Int J Artif Organs 2001; 24: 443–446.
22. Falk A. Use of the femoral vein as insertion site for tunneled hemodialysis catheters. J Vasc Interv Radiol. 2007, 18:217-225.
23. Maya ID, Allon M. Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 2005; 68: 2886–2889.
24. Al-Hwiesh AK, Abdul-Rahaman IS. Tunneled femoral vein catheterization for long term hemodialysis: A single centre experience
Saudi J Kidney Dis Transplant. 2007; 18:37–42.
2. Astor BC, Eustace JA, Powe NR, Klag MJ, Fink NE, Coresh J; CHOICE Study. Type of vascularS access and survival among incident hemodialysis patients: the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. J Am Soc Nephrol. 2005;16:1449-1455.
3. Situación de la enfermedad renal crónica en Colombia 2015. www. cuentadealtocosto.org/
4. Restrepo CA, Chacon JA, Villota DM. Safety related to the implantation of jugular catheters for hemodyalisis and usefulness of PA chest X rays post procedure. Acta Med Colomb 2008; 33: 68-74.
5. Restrepo Valencia CA, Buritica Barragan CM. Implanting haemodialysis catheters in the brachiocephalic vein: a little-used approach. Nefrología 2009; 29: 354-357.
6. Restrepo Valencia CA. Axillary catheter for hemodialysis, an alternative vascular access. Nefrología 2008; 28: 77-81.
7. Restrepo Valencia CA, Buitrago Villa CA, Chacon Cardona JA. Hemodialysis catheter implantation in the axillary vein by ultrasound guidance versus palpation or anatomical reference. Int J Nephrol Renovasc Dis. 2013; 6:215-221.
8. Restrepo Valencia CA, Buritica Barragan CM, Arango A. Catheter in the superior vena cava for hemodialysis as a last resort in superior hemithorax. Nefrología 2010; 30: 463-466.
9. Pereira M, Lopez N, Godinho I, Jorge S, Nogueira E, Neves F, Fortes A, Costa AG. Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis. J Bras Nefrol 2017; 39: 36-41.
10. Cesar A. Restrepo V (2012). Unusual Vascular Access for Hemodialysis Therapies, Chronic Kidney Disease, Prof. Monika Gö?z (Ed.), InTech, DOI: 10.5772/25361. Available from: https://www.intechopen.com/books/chronic-kidney-disease/unusual-vascular-access-for-hemodialysis-therapies.
11. Budruddin M, Mohsin N, Amitabh J, Ehab M, Pramod K, Abbas P, Khalil M, Al-Lawati S. Femoral Vein Tunneled Catheters as a Last Resort to Vascular Access: Report of Five Cases and Review of Literature. Renal Failure 2009; 31:320–322.
12. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical practice guideline for acute kidney injury. Kidney Int Suppl, 2012;2:1–138.
13. Huriaux L, Costille P, Quintard H, Journois D, Kellum JA, Rimmelé T. Haemodialysis catheters in the intensive care unit. Anaesth Crit Care Pain Med. 2016 Nov 29. pii: S2352-5568(16):30222-3.
https://doi.org/10.1016/j.accpm.2016.10.003. [Epub ahead ofprint]
14. Pichereau C, Ait-Oufella H, Maury E, Guidet B: Unusual misplacement of a femoral central venous catheter. Intensive Care Med 2011;37: 1714–1715.
15. Arias-Verdu D, Seller-Pérez G, Herrera Gutiérrez M E. Anomalous position of femoral dialysis catheters. Med Intensiva 2017: 41: 262.
16. Reddy M H K, Sangeetha B, Aruna M, Chandra V S, Anil C, Kumar A C V, Ram R, Sivakumar V. Phlegmasia cerulean dolens: complication of femoral vein catheterization. CEN Case Rep 2016; 5:184–187.
17. Sirvent AE, Enriquez R, Millan I, Garci-Marco JM, Rodriguez-Czaplicki E, Redondo-Pachon MD, Gonzales C, Amoros F. Severe hemorrhage because of delayed iliac vein rupture after dialysis catheter placement: is it preventable? Hemodial Int 2012;16: 315-319.
18. Svantner J, Eckert P, Ben?Hamouda N. Rare complication of femoral venous catheter malposition: abdominal compartment síndrome. Intensive Care Med 2017. https://doi.org/10.1007/s00134-017-4893-y
19. Weyde W, Badowski R, Krajewska M, Penar J, Moron K, Klinger M. Femoral and iliac vein stenoses after prolonged femoral vein catheter insertion. Nephrol Dial Transplant. 2004; 6:1618–1621.
20. Zaleski GX, Funaki B, Lorenz JM, Garofalo RS, Moscatel MA, Rosenblumb JD, Leef JA. Experience with tunneled femoral hemodialysis catheters. AJR Am J Roentgenol 1999; 172: 493–496.
21. Chow KM, Szeto CC, Leung CB, Wong TY, Li PK. Cuffed- tunneled femoral catheter for long-term hemodialysis. Int J Artif Organs 2001; 24: 443–446.
22. Falk A. Use of the femoral vein as insertion site for tunneled hemodialysis catheters. J Vasc Interv Radiol. 2007, 18:217-225.
23. Maya ID, Allon M. Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 2005; 68: 2886–2889.
24. Al-Hwiesh AK, Abdul-Rahaman IS. Tunneled femoral vein catheterization for long term hemodialysis: A single centre experience
Saudi J Kidney Dis Transplant. 2007; 18:37–42.
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