Seminars in Dialysis
Volume 22, Issue 1, 2009, Pages 81-83

Stent migration and folding in the subclavian vein during subclavian hemodialysis catheter placement (Article)

Adulla M. , Chan M.R. , Hermsen J.L. , Tefera G. , Yevzlin A.S.
  • a Division of Internal Medicine, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States
  • b Division of Internal Medicine, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States
  • c Division of General Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States
  • d Division of General Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States
  • e University of Wisconsin Hospitals and Clinics, 3034 Fish Hatchery Road, Madison, WI 53713, United States, Division of Internal Medicine, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States

Abstract

The role of stent placement in hemodialysis (HD) access intervention continues to evolve. As more stents are placed, new and unusual complications are coming to light. We describe a case in which an unsuccessful attempt to place a left subclavian dialysis catheter resulted in the inadvertent migration and folding of a previously deployed subclavian stent. Attempts to remove the stent with a snare were unsuccessful. Patency was restored to the access circuit by placing a new stent through the struts of the folded one. Clinical vascular practice guidelines for vascular access on the use of fluoroscopy for temporary HD catheter placement may need to be re-evaluated with the reported increase in stent placement in the US HD population. Journal compilation © 2008 Wiley Periodicals, Inc.

Author Keywords

[No Keywords available]

Index Keywords

foreign body methodology radiography human middle aged Humans male case report Renal Dialysis Article equipment Stents Kidney Failure, Chronic Foreign-Body Migration renal replacement therapy stent phlebography Catheterization, Central Venous central venous catheterization chronic kidney failure Subclavian Vein Equipment Failure instrumentation
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-60349116717&doi=10.1111%2fj.1525-139X.2008.00520.x&partnerID=40&md5=667d28ee8f7c8c8643362bc60a774696
DOI: 10.1111/j.1525-139X.2008.00520.x
ISSN: 08940959
Original Language: English