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Situs ambiguous and absence of the inferior vena cava: an extremely rare cause of femoral hemodialysis catheter dysfunction
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Orientador(es)
Resumo(s)
Hemodialysis catheter dysfunction (CDys) has been defined by Kidney Disease utcomes Quality Initiative (K/DOQI) guidelines as “failure to maintain an extracorporeal
blood flow sufficient to perform hemodialysis without significantly lengthening
the hemodialysis treatment” [1], influencing stage 5 chronic kidney disease (CKD)
patients’ morbidity and mortality [2]. Among the causes of CDys, those occurring within
the first 2 weeks of placement are defined as early dysfunction commonly resulting from
mechanical problems, which include inadequate positioning, kinking, or constriction,
while late dysfunction usually results from thrombus formation [1]. However, this case
report demonstrates that one must also consider other causes of CDys.
Descrição
Palavras-chave
situs ambiguous inferior vena cava femoral hemodialysis catheter Portugal Madeira Island CDys Hemodialysis catheter dysfunction
Contexto Educativo
Citação
Clinical Nephrology, Vol. 84 – No. 3/2015 – Letter to the editor