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Translumbar Central Venous Hemodialysis Catheters
Jonszta, Tomáš ; Krajina, Antonín (advisor) ; Roček, Miloslav (referee) ; Michálek, Pavel (referee)
Translumbar Central Venous Hemodialysis Catheters Aim: Hemodialysis catheter translumbal placement enables high quality venous access in patients with exhausted usual venous routes. The aim of this study is to evaluate technical success of catheter insertion and long-term patency of translumbar hemodialysis catheters (TLC) and to compare the results with standard tunnelized hemodialysis catheters inserted via internal jugular vein (SC). Material and methods: Between 2010 and 2018 translumbar dialysis catheter (TLC) was inserted in 37 patients in whom occlusion of internal jugular and brachiocephalic veins precluded standard implantation route. 17 (45,9 %) men and 20 (54,1 %) women were treated with age median 64,0 years, range 41-89 years. The TLC patients were compared with standard tunnelized heamodialysis internal jugular catheter patients (SC), in whom procedures were performed in the same time period. SC was placed in 196 patients, 113 (57,7 %) men and 83 (42,3 %) women, with age median 68,5 years, range 16-91 years. Results: The total time of follow up for the TLC patients was 1-2097 days with median 673 days, while the follow up for the SC pacients was 1-2915 days with median 310 days. Technical success rate for the insertion was 97,4 % in the TLC group and 98,6 % in the SC group. Periprocedural...

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