Chan-Vázquez D, Romero-Garcia PM, Ramírez-Reyes AG

Language: Spanish
References: 14
Page: 106-112
PDF size: 574.57 Kb.

ABSTRACT

Objetive:Propose vesection in external iliac vein as a management option in patients with exhausted vascular access standard.
Introduction: Vascular access is essential for patients whit systemic disease or end-stage renal. The exhaustion of regular access comes the need to place catheters in azygos or calcify. We propose an alternative term: venesection in external iliac vein, whit inguinal approach.
Material and methods:We performed an observational, descriptive, prospective, non-probability in patients udergoing prolonged treatment whit regular access exhausted, those indwelling catheter was placed in external iliac vein, between January 2006 to January 2009. We registered demographic data, underlying disease, indication for permanent catheter placement, complications during placement of it, and during the course of a year, identifying late complications.
Results:It made access to the external iliac vein in 13 patients, achiving catheterization in 11, allowing the immediate use of the catheter, in two it was impossible to catheterize the vessel due to thrombosis. There were no complications during the surgical procedure, no significant follow-up.
Conclusion:The placement of indwelliing catheters in the external iliac vein is considered a safe alternative in pediatric patients whit common vascular access such as jugular and upper extremity saphenous exhausted. We suggest its use before access whit increased morbidity as intrathoracic.

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