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Salvage of Tunneled Dialysis Catheter-Related Complication by Deep Hypothermic Circulatory Arrest: A Case Report

Year: 2025

Type: article

Abstract: A BSTRACT This report is about the management of a 61-year-old female patient with end-stage renal disease (ESRD) on regular hemodialysis (HD) since 6 years. The patient presented with thrombo-vegetation around the superior vena cava (SVC) and right atrium on a cuffed tunneled permanent dialysis catheter (TDC) placed via the right internal jugular vein (IJV). Due to intraoperative rupture of SVC-right atrium (RA) junction as a complication of cannulation for initiation of cardiopulmonary bypass (CPB), thrombo-vegectomy was done under deep hypothermic circulatory arrest (DHCA) followed by reconstruction of right SVC-IJV-innominate-brachiocephalic vein using bovine pericardium. The patient was successfully weaned off CPB. New TDC was placed through left subclavian vein.

Source: Medical Journal of Dr D Y Patil Vidyapeeth

DOI: 10.4103/mjdrdypu.mjdrdypu_473_24

Authors: Vipul Krishen Sharma, Preeti Raj, Shahbaz Hasnain

Institutions: Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408670432