医学
血管通路
透析导管
动静脉瘘
血液透析
导管
透析
外科
狭窄
血液透析通路
血液透析导管
终末期肾病
肾脏疾病
中心静脉导管
重症监护医学
放射科
内科学
作者
Yeshwanter Radhakrishnan,Jayaprakash Dasari,Evamaria Anvari,Tushar J. Vachharajani
标识
DOI:10.1177/11297298211039633
摘要
One of the most challenging aspects of providing end-stage kidney disease care is to achieve adequate long-term access to the bloodstream to support hemodialysis (HD) therapy. Although upper extremity arteriovenous fistula remains the vascular access of choice for patients on HD, complications such as central venous stenosis, access thrombosis, or exhaustion of suitable access sites in the upper extremity, ultimately result in pursuing vascular access creation in the lower extremity. The current review focuses on the indications, contraindications, and clinically relevant practical procedural tips to successfully place a tunneled femoral dialysis catheter. The review highlights some of the prevailing misconceptions regarding femoral catheter placement practices.
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