A premature infant experienced respiratory distress due to chylothorax. Contrast-enhanced chest computed tomography showed superior vena cava (SVC) obstruction with collaterals, and surgery confirmed an obstruction of the SVC by intravascular fibrotic tissue and thrombi caused by placement of a central venous catheter. The respiratory distress improved after surgical intervention. In the differ...

After creation of an arteriovenous fistula or placement of an arteriovenous graft, several weeks are required for maturation prior to first cannulation. Patients need an alternative way to receive hemodialysis during this time, frequently a catheter. After multiple failed access attempts, patients can run out of options and become catheter dependent. At our institution, we place HeRO grafts in ...

  Background: This research compares the outcomes of percutaneous technique and open surgical peritoneal dialysis catheter placement in children.   Methods: In this randomized controlled trial, between 2010 and 2011,a total of 35 pediatric uremic patients were enrolled and randomized into two study groups. Follow up data included duration of operation (minute), duration of hospitalization (days...

PURPOSE To examine the reliability of low current electrical epidural stimulation to confirm epidural catheter placement. METHODS Forty patients with epidural catheters (19G Arrow Flextip plus) already in place for post-operative pain management were studied. An adapter (Arrow-Johans ECG Adapter) was attached to the connector of the epidural catheter. The epidural catheter and adapter were fi...

A reliable and safe vascular access is critical for providing life sustaining hemodialysis therapy to patients with end stage renal disease (ESRD). Although a permanent arteriovenous access such as an arteriovenous fistula or arteriovenous graft is preferred, the United States Renal Data System (USRDS) data reports that nearly 80 percent of incident hemodialysis patients initiate treatment with...