Kidney Week

Abstract: FR-PO537

Implantation of Hemodialysis Catheter in the Iliac Vein vs. Placement in Femoral Vein with Ultrasound Guidance

Session Information

• Dialysis Vascular Access
  October 25, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

• 803 Dialysis: Vascular Access

Authors

• Gutiérrez Hernandez, José Jesús, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

José Jesús Gutiérrez Hernandez, MD

• Aguilar, Brenda, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Brenda Aguilar, MD

• Espinoza, Hugo Bonifacio, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Hugo Bonifacio Espinoza, MD

• Padilla Gomez, Francisco Javier, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Francisco Javier Padilla Gomez, MD

• Covarrubias Castellon, Carolina, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Carolina Covarrubias Castellon

• Juárez, David Antonio, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

David Antonio Juárez, MD

• Resendez Gonzalez, Rosa Maria, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Rosa Maria Resendez Gonzalez, MD

• Esquinca, Christian Ali Ramírez, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Christian Ali Ramírez Esquinca, MD

• Rosales Torres, Brenda Guadalupe, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Brenda Guadalupe Rosales Torres, MD

• Ramos Mares, Cristian Josue, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Cristian Josue Ramos Mares, DrMed

• Soto-Vargas, Javier, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Javier Soto-Vargas, MD

• De Niz Hernández, Paulina, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Paulina De Niz Hernández, PhD

• Parra Michel, Renato, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Renato Parra Michel, MD

• Romero Tafoya, Juan Oziel, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Juan Oziel Romero Tafoya

• Barbarin Sosa, Jose Antonio, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Jose Antonio Barbarin Sosa, MD

• Reyes Martinez, Diana María, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico

Diana María Reyes Martinez, MD

Background

We compare the results of implantation of hemodialysis catheter in the iliac vein versus placement in femoral vein both guided with ultrasound, analyzing complications, technique and survival

Methods

All patients required chronic hemodialysis and to who were determined not to place a catheter in the internal jugular vein, femoral with history of multiple vascular access, AV fistula or grafts where it was essential to obtain an alternative vascular access. When the procedure for the insertion for the iliac vascular access was realized was always with US guidance. The results were compared with patients who underwent the implantation of a tunneled vascular access in the femoral region

Results

The insertion of catheters were realized by the nephrologists experts in vascular access from the HGR 46 of the IMSS in Guadalajara, Jalisco, Mexico, between 2021-2024. A total of 12 iliac catheters were implanted all with US guidance. The iliac catheter group had the same amount of punctures as the femoral catheter group, arterial punctures were rare in both techniques. No differences were observed in complications related to the procedures.

Conclusion

Implantation of iliac catheters in patients with impossibility for conventional site insertion is a safe procedure and feasible in patients with vascular exhaustion. The rate of complications and survival was not inferior to the femoral catheter group. It is necessary to know the inguinal region anatomy as well as the correct selection of patients.