title: Percutaneous translumbar catheterization of the inferior vena cava as an emergency access for hemodialysis - 5 years of experience.
abstract: METHODS
  In this study, 13 patients (11 men and 2 women) undergoing hemodialysis (HD) with the use of a catheter placed into the inferior vena cava with percutaneous translumbar access were retrospectively evaluated. In the studied group, 16 procedures of percutaneous translumbar catheterization were performed. Complications connected with the presence of catheter, such as hematoma, thrombosis, infection, catheter movement or unsuccessful catheterization, were analyzed. Moreover, another aspect of our report was to evaluate the adequacy of HD treatment performed by lumbar catheter.
  
  
  RESULTS
  The total time of translumbar catheter observation was 4,169 days. Average time of their functioning was 261 days. The most frequent reason for termination of the use of translumbar HD catheters was spontaneous/idiopathic removal - 2 cases. Episodes of infection and thrombosis per 1,000 days of catheter observation were 2.2 and 1.2, respectively.
  
  
  CONCLUSIONS
  Based on our study, we can conclude that correctly performed percutaneous translumbar catheterization of the inferior vena cava, in order to produce a long-term vascular access for HD, is a valuable and safe method in patients after depletion of standard vascular accesses.
authors.affiliation: 1 Department of Internal Medicine, Nephrology and Dialysotherapy, Military Institute of Medicine, Warsaw - Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kade
authors.forename: Jaroslaw
authors.initials: J
authors.lastname: Les
authors.forename: Magdalena
authors.initials: M
authors.lastname: Buczkowska
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Łabus
authors.forename: Stanislaw
authors.initials: S
authors.lastname: Niemczyk
authors.forename: Zofia
authors.initials: Z
authors.lastname: Wankowicz
mesh_terms: D000328:Adult; D000368:Aged; D059925:Anatomic Landmarks; D061807:Catheter Obstruction / Q000209:etiology; D055499:Catheter-Related Infections / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D020878:Device Removal; D004630:Emergencies; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000209:etiology; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging