Unusual Sites for Hemodialysis Vascular Access Construction and Catheter Placement: A Review. Issue 6 (June 2015)

• Record Type: Journal Article
• Authors: Lew, Susie Q.; Nguyen, Bao-Ngoc; Ing, Todd S.
• Is Part Of: International journal of artificial organs. Volume 38:Issue 6(2015:Jun.)
• Page Start: 293
• Page End: 303
• Publication Date: 2015-06
• Subjects: End-stage renal disease -- Hemodialysis -- Arteriovenous fistula -- Surgical arteriovenous shunt -- Surgical arterioarterial fistula -- Central venous catheter; Artificial organs -- Periodicals; 617.956
• DOI: 10.5301/ijao.5000416
• Languages: English
• ISSNs: 0391-3988

Abstract

As more end-stage renal disease patients require hemodialysis and live longer, many will fail to develop or maintain a functioning upper extremity vascular access. When a patient exhausts vascular access sites in the upper extremities, new fistulas and grafts can be constructed in the lower extremities, thorax, and abdomen as long as a pair of proximate artery and vein provide adequate blood inflow and outflow, respectively. When only a moderate size vein with adequate blood flow provides a conduit to either a patent superior or inferior vena cava, inserting a double-lumen venous hemodialysis catheter can provide temporary or permanent access. We review the literature and report the unusual sites for hemodialysis vascular access and catheter placement.