Guidewire fragmentation complicating hemodialysis catheter insertion

Persistent left superior vena cava complicating pacemaker catheter insertion.

Comparing the early function and complications between fluoroscopic guidance and blindly insertion of permanent hemodialysis catheter

Objective: Chronic kidney disease (CKD) is a complicated kidney defect causing permanent failure in renal function in progressive stages. Hemodialysis is the most accepted treatment to maintain body’s fluid/electrolyte homeostasis at the terminal stages of the disease. Permanent hemodialysis catheter (permicath) may be inserted blindly or by fluoroscopic guidance. This study aimed to compare th...

Left Internal Jugular Vein Dissection with Anterior Mediastinal Placement Following Hemodialysis Catheter Insertion

Should temporary hemodialysis catheter insertion remain a requirement of nephrology residency training?

PURPOSE OF REVIEW Recently, there has been much debate about the practicality and utility of training nephrology fellows in temporary hemodialysis catheter insertion. SOURCES OF INFORMATION Literature review along with the authors' opinion. FINDINGS This skill can be taught easily, in a controlled fashion to maximize success and minimize complications. In order to achieve this training cent...

Left Brachiocephalic Vein Stenosis due to the Insertion of a Temporal Right Subclavian Hemodialysis Catheter

Central vein stenosis/occlusion is a common well-described sequel to the placement of hemodialysis catheters in the central venous system. The precise mechanisms by which central vein stenosis occurs are not well known. Current concepts in central vein stenosis pathophysiology focus on the response to vessel injury model, emphasizing the process of trauma. A case of left brachiocephalic vein st...