Retroperitoneal Tunneled Hemodialysis Catheter in Inferior Vena Cava: A Report of Three Cases

摘要

Finding an appropriate vascular access is difficult in long term hemodialysis patients for emergency hemodialysis. The aim of this study was to present tunneled hemodialysis catheter placement to inferior vena cava through retroperitoneal approach as an alternative method for patients who have emergency hemodialysis and no other choice. We placed tunneled hemodialysis catheter into inferior vena cava through retroperitoneal approach in three patients for emergency hemodialysis, two of them being female and one being male. The mean age of the patients was 51.3 years (min: 36, max: 56) and mean dialysis time was for a period of 4.3 years (min: 2, max: 6). In conclusion, placement of tunneled hemodialysis catheter into the inferior vena cava through retroperitoneal approach can be an alternative vascular access procedure for patients especially who have emergency hemodialysis and no other choice.