Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492007000400014
Jornal Vascular Brasileiro
Case Report

Relato de caso: implante transparietohepático de cateter de longa permanência para diálise

Case report: transhepatic insertion of long-term dialysis catheter

Felipe Nasser; Rodrigo Bruno Biagioni; Roberta Cristina Almeida Campos; Emanuella Galvão de Sales e Silva; Orlando Costa Barros; Marcelo Calil Burihan; José Carlos Ingrund; Adnan Neser

http://dx.doi.org/10.1590/S1677-54492007000400014 J Vasc Bras, vol.6, n4, p.391-394, 2007
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Resumo

O implante transhepático de cateteres de diálise de longa permanência é um procedimento de exceção, utilizado para obter um acesso em pacientes com oclusão de veias centrais de membros superiores e inferiores. O caso descrito relata um paciente jovem, com história de 15 anos de diálise, que foi submetido no passado a um transplante renal sem sucesso. Esse paciente encontrava-se em urgência dialítica e oclusão comprovada de veias centrais de membros superiores e de veias ilíacas. Foi realizado o implante do cateter de longa permanência pelo acesso transparietohepático sob anestesia geral. A ponta do cateter foi posicionada ao nível do átrio direito. A diálise foi realizada satisfatoriamente no mesmo dia.

Palavras-chave

Implante transhepático, hemodiálise, acesso

Abstract

Transhepatic insertion of long-term dialysis catheter is an exception procedure used to obtain access in patients with central vein occlusion of lower and upper limbs. We report on a case of a young patient with history of dialysis for 15 years, who was submitted to an unsuccessful renal transplantation. This patient was in dialytic emergency and had confirmed occlusion of upper limb central veins and iliac veins. Transhepatic insertion of a long-term catheter was performed under general anesthesia. The catheter tip was placed at the level of the right atrium. Dialysis was satisfactorily performed on the same day.

Keywords

Transhepatic insertion, hemodialysis, access

Referências

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