A novel technique to restore access in patients with central venous occlusion using the Surfacer® Inside-Out® Access Catheter System

J Vasc Access. 2020 Sep;21(5):778-782. doi: 10.1177/1129729820909730. Epub 2020 Mar 7.

Abstract

Exhausted central venous access is a potentially life-threatening situation for patients dependent on haemodialysis. If standard guidewire recanalisation fails, unconventional venous access or central venous needle recanalisation can be considered but are often associated with higher rates of complications and/or dysfunction. Here, we report about two patients treated successfully with the Surfacer® Inside-Out® Access Catheter System (Bluegrass Vascular Technologies, San Antonio, TX, USA) to achieve transmediastinal central venous access.

Keywords: Haemodialysis access; central venous occlusion; chronic venous occlusion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Angioplasty, Balloon
  • Brachiocephalic Veins* / diagnostic imaging
  • Brachiocephalic Veins* / physiopathology
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / instrumentation*
  • Catheters, Indwelling*
  • Central Venous Catheters*
  • Equipment Design
  • Female
  • Humans
  • Male
  • Punctures
  • Renal Dialysis*
  • Treatment Outcome
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / etiology
  • Vascular Diseases / physiopathology
  • Vascular Diseases / therapy*
  • Vascular Patency