TITLE: Early complications of translumbar cannulation of the inferior vena cava as a quick, last-chance method of gaining access for hemodialysis. Ten years of experience in one clinical center.

Introduction: The gold standard of vascular access for chronic hemodialysis patients is the arteriovenous fistula (AVF). If an AVF cannot be created, the hemodialysis catheter can be inserted into the internal jugular, femoral or subclavian vein. After exhausting the abovementioned standard accesses, translumbar access to the inferior vena cava (IVC) is considered a quick, last-chance and rescue method.

Aim: Retrospective analysis of early complications (EC) of translumbar IVC catheterization using one type of catheter by one medical team.

Material and methods: From January 2010 to October 2019, a total of 34 translumbar IVC catheters were implanted in 27 patients.

Results: A major EC was found in 1 (2.9%) procedure. Minor EC occurred in 23.5 attempts. None of these complications required an intervention.

Conclusions: In patients with exhausted possibilities of obtaining standard vascular access for HD, translumbar IVC cannulation proved to be a safe and effective method.

SOURCE: Leś J, Spaleniak S, Lubas A, et al. Early complications of translumbar cannulation of the inferior vena cava as a quick, last-chance method of gaining access for hemodialysis. Ten years of experience in one clinical center[J]. Wideochir Inne Tech Maloinwazyjne, 2021,16(1):282-288. DOI: 10.5114/wiitm.2020.99944.

简介：慢性血液透析患者血管通路的金标准是动静脉内瘘（AVF）。如果无法创建AVF，则可以将血液透析导管插入颈内，股骨或锁骨下静脉。在用完上述标准通路之后，经腰椎通路进入下腔静脉（IVC）被认为是一种快速，最后机会和抢救方法。

目的：回顾性分析一个医疗团队使用一种类型的导管进行经腰IVC导管插入术的早期并发症（EC）。

材料与方法：自2010年1月至2019年10月，共植入27例经腰椎IVC导管。

结果：在1例（2.9％）的操作过程中出现了主要EC。23.5次尝试中出现次要EC发生。这些并发症均无需干预。

结论：对于有能力获得HD的标准血管通路的患者，经腰椎IVC插管被证明是一种安全有效的方法。

启发：该研究提供了一种新的方式，其他常规通路耗竭情况下的办法。规划好患者的通路设计，管理好患者的通路。实在不行时，再启用非常规方案。