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The tunneled dialysis catheter is among the most commonly used vascular accesses for patients undergoing hemodialysis. Delayed hemothorax resulting from central venous perforation induced by catheterization is a rare but serious complication. However, there are few reports. This article reports the case of a 79-year-old male who developed delayed massive hemothorax following catheter placement via the left internal jugular vein. The condition was successfully managed with closed thoracostomy and conservative therapy. This case underscores the potential for delayed hemothorax after tunneled dialysis catheter placement, emphasizing the need for heightened vigilance during the immediate post-procedural period. Close monitoring in the first hours after catheterization is critical to enable early detection, prompt recognition, and timely intervention for such complications.
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http://dx.doi.org/10.1111/hdi.13244 | DOI Listing |
Ann Vasc Surg
September 2025
Interventional Radiology, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
Objectives: As a two-dimensional modality, venography has limitations in its capacity to measure lumen caliber and to assess stenotic disease accurately. This has implications in the management of end-stage renal-disease (ESRD) patients "no-option" candidates access for arteriovenous fistula (AVF) or graft (AVG) creation secondary to high risk of vascular access failure. The incremental diagnostic and clinical impact of intravascular ultrasound (IVUS) was quantified in this tunneled dialysis catheter dependent ESRD cohort.
View Article and Find Full Text PDFAnn Vasc Surg
September 2025
Division of Vascular and Endovascular Surgery, Department of Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA. Electronic address:
Objective: Upper-extremity arteriovenous (AV) access often requires re-intervention. However, the frequency of re-interventions and subsequent access failure is not well-characterized. Our goal was to evaluate the frequency and type of re-interventions, risk-factors, and outcomes after AV access creation.
View Article and Find Full Text PDFAdv Sci (Weinh)
August 2025
Department of Cardiovascular Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
As a widely used vascular access for hemodialysis patients, arteriovenous fistula (AVF) still faces high failure rates, in which local inflammatory response is an essential factor. In animal studies, chronic kidney disease (CKD) has been reported to aggravate local inflammation in AVFs, but the mechanisms are controversial. Here, spatial transcriptomics and single-cell RNA sequencing are used to explore the cellular changes during AVF remodeling in human and mouse.
View Article and Find Full Text PDFJ Clin Med
August 2025
Nursing Department, Faculty of Nursing, Physiotherapy and Podology, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Tunnelled central venous catheters are increasingly used for vascular access in patients undergoing haemodialysis for chronic kidney disease. However, catheter dysfunction is a frequent and clinically relevant complication, impairing treatment efficacy and increasing morbidity. This study aimed to develop and internally validate predictive models for catheter dysfunction using routinely collected haemodialysis session data, with the goal of facilitating early detection and proactive clinical decision-making.
View Article and Find Full Text PDFJ Vasc Access
August 2025
Nephrology and Dialysis Unit, ASL Roma 2, St Eugenio Hospital, Rome, Italy.
Background: Tunneled central venous catheters (tCVCs) are essential in hemodialysis when arteriovenous access is not feasible. Their correct positioning is crucial to ensure efficient dialysis and prevent complications such as stenosis and thrombosis.
Methods: This retrospective, non-randomized study reviewed all tCVC placements performed from January 2017 to December 2024 at the Nephrology Department of St.