Femoral Positioning of Tesio Catheters for Hemodialysis

Abstract

Vascular access may be of crucial importance in long-term dialyzed patients when traditional blood access fails.

Long-term central vascular access devices are usually inserted in the internal jugular or subclavian veins but thrombosis may be the major factor limiting their long-term use. To solve this problem the Tesio caheter is one of the most commonly recommended tools for long-term use in RD patients, and is normally placed in the neck veins.

In this study the femoral vein is indicated as an alternative site for positioning the Tesio catheter. The “high” exit (abdominal) reported here presents some advantages for the patient who can then walk without difficulties while maintaining a high blood flow that is similar to those achieved with catheters implanted in other sites.

Keywords

Dialysis Vascular access Tesio catheter Femoral vein

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References

Atherikul

. Adequacy of hemodialysis with cuffed central-vein catheters. Nephrol Dial Transplant 1998; 13(3): 745–9.

Tesio

. Double catheterization of the internal jugular vein for hemodialysis: indications, techniques, and clinical results. Artif Organs 1994; 18(4): 301–4.

Page

, Legendre

Tunnelized double femoral catheters. A technique for vascular access in hemodialysis. Presse Med 1993; 20–22(36): 1820–2.

Prabhu

P.N.

. Long-term performance and complications of the Tesio twin catheter system for hemodialysis access. Am J Kidney Dis 1997; 30(2): 213–8.

Mannesse

, Bosch

F.H.

Percutaneous jugular Tesio catheter useful for long-term hemodialysis: experiences in 26 patients. Ned Tijdschr Geneeskd 1998; 31–142(5): 247–51.

Cardelli

. Permanent vascular catheters for extracorporeal dialysis. Preliminary study: Canaud and Tesio catheters. Minerva Urol Nefrol 1998; 50(1): 51–4.

Leblanc

. Central venous dialysis catheter dysfunction. Adv Ren Replace Ther 1997; 4(4): 377–89.