Percutaneous translumbar inferior vena cava cannulation for hemodialysis

Am J Kidney Dis. 1995 May;25(5):732-7. doi: 10.1016/0272-6386(95)90549-9.


The purpose of this study was to evaluate the percutaneous translumbar approach for long-term hemodialysis catheter access. Seventeen double-lumen hemodialysis catheters were placed percutaneously from the right flank to the inferior vena cava in 12 patients. Catheter placement was successful in all patients. Adequate flow rates were obtained. Seven episodes of thrombosis-related access failure occurred (0.33 episodes/100 days at risk). Two catheters were removed and five catheters were managed with urokinase infusion. Six episodes of infection occurred (0.28 episodes/100 days at risk). Four required catheter removal. Two catheters were removed after defects developed in the catheter. Five catheters were removed electively because catheter hemodialysis was discontinued. Four catheters remained in place. Cumulative patency was 52% at 6 months and 17% at 12 months. Translumbar inferior vena cava hemodialysis catheters represent a valuable alternative in cases in which traditional catheter sites have failed.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Renal Dialysis / methods*
  • Vena Cava, Inferior*