An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Nov-Dec;36(6):483-485. doi: 10.1111/sdi.13184. Epub 2023 Oct 24.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research

A new hope for vascular access, modifying a new technique: The Surfacer ® Inside-Out Access Catheter System and sharp recanalization
Semin Dial. 2023 Oct 24:e13184. doi: 10.1111/sdi.13184. Online ahead of print.ABSTRACTVascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (...
Source: Seminars in Dialysis - October 24, 2023 Category: Urology & Nephrology Authors: Melissa Rau Esther Alba Joana Valcarcel Jaid Landa Diego Sandoval Source Type: research