title: Transhepatic PermCath for hemodialysis.
abstract: The establishment and maintenance of a reliable vascular access continues to be a problem in hemodialysis. We report a patient with end-stage lupus nephritis who had no alternative for vascular access and failed peritoneal dialysis. A vascular access device (PermCath, Quinton Instrument Co, Bothell, WA) was inserted using a transhepatic approach. There were no bleeding or thrombotic complications. The catheter was replaced once through the same track due to poor blood flow and reinserted once after 5 days due to infection. The patient has been doing well and receiving adequate dialytic therapy for over 1 year with this form of vascular access.
authors.affiliation: Kraftsow Division of Nephrology, Albert Einstein Medical Center, Philadelphia, PA 19141.
authors.forename: C L
authors.initials: CL
authors.lastname: Po
authors.forename: H A
authors.initials: HA
authors.lastname: Koolpe
authors.forename: S
authors.initials: S
authors.lastname: Allen
authors.forename: L D
authors.initials: LD
authors.lastname: Alvez
authors.forename: R M
authors.initials: RM
authors.lastname: Raja
mesh_terms: D000328:Adult; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008099:Liver; D008181:Lupus Nephritis / Q000150:complications; D006435:Renal Dialysis / Q000295:instrumentation* / Q000379:methods*