Indwelled femoral vein non-cuffed, double-lumen hemodialysis catheter complicated by pulmonary thromboembolism.
Non-cuffed, double-lumen hemodialysis (HD) catheters can be inserted at the bedside in the femoral, internal jugular or subclavian position. The femoral route is less risky, and the incidence of life-threatening complications is lower for femoral cannulation than for internal jugular and subclavian cannulations. However, here we describe a life-threatening complication of an extensive deep vein thrombosis and subsequent pulmonary thromboembolism following femoral cannulation of a double-lumen HD catheter. The possible mechanisms and treatment for this potentially fatal thromboembolic event are discussed in this report.
Hsieh
H-S
HS
Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital, Taiwan.
Liao
H-T
HT
Wei
C-J
CJ
Tarng
D-C
DC
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004867:Equipment Design; D005260:Female; D005268:Femoral Vein; D006801:Humans; D011655:Pulmonary Embolism / Q000209:etiology*; D006435:Renal Dialysis / Q000295:instrumentation*