Femoral catheter for dialysis complications

General bedside management for non-infectious catheter complications includes repositioning the patient, forceful flushing of saline through the catheter, tPA dwell prior to dialysis, or obtaining a chest x-ray to rule out catheter kinks or malpositioning Permcath is used as a medium to gain access to blood vessels (vascular access) for dialysis over a long time period, generally over months. This access is obtained through a major blood vessel like the jugular vein in the neck or the femoral vein in the groin area. For a shorter duration, like a few days, a temporary catheter is used

Outcomes of tunneled femoral hemodialysis catheters

Femoral access is still the most common mode of vascular access for coronary angiography and intervention in the United States, though transradial access is on the rise. The femoral artery, in a nondiseased state, is a larger caliber artery (permitting larger size catheters) and is less prone to spasm when compared with the radial artery Broadly speaking, temporary catheters are used for a short period of time. These catheters are called Uncuffed catheters. They are usually used in emergency conditions or when dialysis is needed only for a few days. These are more prone to infections because the barrier for bacteria to enter the bloodstream is reduced Medical complications Abstract Objective: Femoral catheters pose a potential barrier to early rehabilitation in the intensive care unit (ICU) due to concerns, such as catheter removal, local trauma, bleeding, and infection. We prospectively evaluated the feasibility and safety of physical therapy (PT) in ICU patients with femoral catheters

Mechanical complications related to NTHC insertion are common with vascular injury or hematoma occurring in up to 5% of insertions.5Other mechanical complications such as pneumothorax, pneumopericardium, and air and guidewire embolism occur less often but can be fatal.5Although the life-threatening complications of NTHC insertion are typically related to insertions at the internal jugular site, fatal complications related to femoral NTHC insertion have been reported We determined the femoral vein catheter associated infections rates, thrombosis, and subsequent dialysis access. Eligible patients were surveyed on their femoral vein catheter experience. RESULTS: Twenty-two femoral vein catheters were inserted without complications Catheter-related infectious complications were recorded in 27 (19.8%) of the femoral catheters and 6 (4.5%) of the subclavian catheters (P<.001 by log-rank test). The incidence densities of infectious complications were 20 per 1000 femoral catheter-days and 3.7 per 1000 subclavian catheter-days 2888 Maya and Allon: Tunneled femoral dialysis catheters 100 80 60 40 20 0 P ercent survival 0 100 200 300 Days Fem IJ Fig. 1. Primary patency (time from initial placement to first exchange) of tunneled dialysis catheters placed in the femoral vein (solid line) an In one review, it was noted that up to 15% of central venous catheter (CVC) insertions can be associated with one or more complication. Commonly encountered complications include arterial puncture, catheter-related infection, pneumothorax, venous thrombosis, catheter malposition, venous air embolism and precipitation of dysrhythmias

The femoral vein is increasingly being used as a temporary route for dual-lumen hemodialysis catheter placement because it is thought to be safer than the internal jugular or subclavian vein sites. However, several factors preclude the wider use of indwelling femoral catheters for hemodialysis, incl Patients who undergo dialysis treatment have an increased risk for getting an infection. Hemodialysis patients are at a high risk for infection because the process of hemodialysis requires frequent use of catheters or insertion of needles to access the bloodstream Non-tunneled dialysis catheters are used for temporary or emergent Complications of nontunneled catheters can be divided into acute and long term complications. Some acute complications include: Vascular injury (<1%) Hematoma (2% in the IJ and 5% in the femoral catheters) Pneumothorax ; Air embolism (<1%) Cardiac arrhythmias (can occur. The placement of a femoral catheter is, therefore, adequate in situations of acute renal insufficiency that require continuous or intermittent haemodialysis techniques, or in patients with chronic renal insufficiency without vascular access (failure of the fistula, transplanted patients or with peritoneal dialysis) in critical situation Several studies have shown that using ultrasonography to assist in central­catheter placement increases success and reduces complications.2,3 Choose a linear probe rather than a curved probe for femoral catheter placement. Linear probes emit high­fre­ quency waves that are optimal for viewing superficial structures, such as the femoral vessels

Femoral Arteriovenous Grafts for Hemodialysis

Placements of central venous catheters are high risk vascular procedures and require strict aseptic conditions. HD catheters are not only associated with higher risks of long-term complications like central venous stenosis, thrombosis, and infections, but also early interventional complications like arterial puncture, haematoma, and pneumothorax Hemodialysis is important part of management in patients with severe metabolic acidosis and hyperkalemia. Central venous insertion of dialysis catheter in femoral vein and internal jugular vein is commonly performed. Efficacy of dialysis depends on proper inflow and outflow of blood through dialysis catheter

In contrast to adults, studies in pediatric patients have demonstrated that femoral catheters have a low incidence of mechanical complications and might have an equivalent infection rate to that of non-femoral catheters [248-251] To determine the incidence and predictors of femoral tunneled dialysis catheter (TDC)-related complications and whether prophylactic anticoagulation is associated with reduced catheter-related deep vein thrombosis (CRT) or prolonged patency Monnie Wasse MD, MPH, FASN, Gerald A. Beathard MD, PhD, FASN, in Chronic Kidney Disease, Dialysis, and Transplantation (Fourth Edition), 2019. Acute Dialysis Catheters. An ADC, also referred to as a noncuffed dialysis catheter (Fig. 23.19), is defined as a catheter designed for short-term use as a vascular access in the dialysis patient.Its use should be restricted to acute dialysis and for. Complications with hemodialysis catheters must be quickly identified because of the serious consequences that can occur. The incidence of complications with femoral hemodialysis catheter was reported to be 0.2%. Massive retroperitoneal hemorrhage was associated with femoral vein cannulation [

5 Common Central Venous Catheter (CVC) Complication

Hemodialysis Catheter Complications (And What To Do About

dialysis catheters is the right internal jugular vein femoral approach is the best alternative translumbar route Subclavian late : thrombosis 3. Catheter related infections local infection systemic infection. Complications of tunneled-cuffed Catheters 1.Complications related to placement air embolism bacteremia sepsis cardiac. cuffed dialysis catheters should not be left in place greater than 3 weeks for internal jugular and 5 days for femoral catheters (10). A tunneled, cuffed catheter should be considered if dialysis is needed for more than 3 weeks (11). Daily documentation of the need for the hemodialysis access is required as line-associated bac Catheter-related bloodstream infection is an important and still too common complication of parenteral and infective complications. C3 The use of the femoral vein for PN is relatively contraindicated, since this is associated with a high risk of dialysis/apheresis; need for central venous pressure monitoring;.

Permcath: Placement, Cost, Complications Explained By A Docto

Femoral Arterial Access and Complications - The Cardiology

Note: For permanent catheter insertion the site of choice is the internal jugular but the subclavian and femoral veins are also used depending on the needs of the patient. 3.2 Acute Access: 3.2.1: Temporary catheter placement: • Inform the dialysis nursing staff as early as possible that the patient will require haemodialysis Prevention of catheter-related complications using maximal sterile precautions during insertion and maintenance of the catheter is critical to improving patient care [6,7]. Furthermore prompt identification and subsequent management of complications associated with IJC reduces morbidity and mortality and improves outcomes in these haemodialysis. The catheter is usually placed in the internal jugular or femoral vein, while the subclavian one is not recommended because of the increased risk of immediate and late complications. As specified in the guidelines, however, it should be considered that the use of catheters for hemodialysis is the most common factor contributing to bacteremia. The catheter is intended to be inserted in the jugular, femoral, or subclavian vein as required. The maximum recommended infusion rate is 5 mL/sec for power injection of contrast media. Contraindications The catheter is intended for short-term vascular access only and is not to be used for any purpose other than indicated in these instructions

Types Of Dialysis Catheters- Your EASY Guid

Klouche K, Amigues L, Deleuze S, Beraud JJ, Canaud B: Complications, effects on dialysis dose, and survival of tunneled femoral dialysis catheters in acute renal failure. Am J Kidney Dis 2007;49: 99-108 Thirty patients with acute renal failure treated by intermittent hemodialysis (IHD) and/or continuous venovenous hemodiafiltration (CVVHDF) were assigned to either twin ST Caths or twin polyurethane nontunneled femoral catheters. Time necessary for catheter insertion, catheter-related complications, and catheter lifespan were monitored Hemodialysis remains the most commonly used RRT option around the world. Technological advances, superior access to care, and better quality of care have led to overall improvement in survival of patients on long-term hemodialysis. Maintaining a functioning upper extremity vascular access for a prolonged duration continues to remain a challenge for dialysis providers Aims . Vascular access is of prime importance for hemodialysis patients. We aimed to study early complications of hemodialysis catheters placed in different central veins in patients with acute or chronic renal failure with or without ultrasound (US ) guidance. Material and Methods . Patients who were admitted to our unit between March 2008 and December 2010 with need for vascular access have. Although catheters are an ideal therapeutic treatment for all patients who need hemodialysis, their placement, use may be followed by certain complications. We present a case of iliac vein lacerations in the projection of the tip of a femoral catheter for hemodialysis in a 55-year-old patient

Practical Aspects of Nontunneled and Tunneled Hemodialysis

Objectives To investigate the incidence rates and risk factors for catheter-related complications in different districts and populations in Henan Province in China. Design Cross-sectional. Setting Fourteen hospitals in Henan Province. Participants 865 patients with renal dysfunction undergoing dialysis using catheters between October 2013 and October 2014. Main outcome measures The main. Regarding this, the present study aimed to assess the success, patency, as well as early and late complications of cuffed femoral and jugular hemodialysis catheters. This case-control study was performed on 145 hemodialysis patients who were candidates for the insertion of tunneled hemodialysis catheters at Rasoul-e-Akram Hospital in Tehran. Indications: The Pristine ™ Long-Term Hemodialysis Catheters are indicated for use in attaining short-term or long-term vascular access for hemodialysis, apheresis, and infusion. Access is attained via the internal jugular vein, subclavian vein, or femoral vein. Catheters longer than 40 cm are intended for femoral vein insertion {{configCtrl2.info.metaDescription}} This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies

Using tunneled femoral vein catheters for urgent start

  1. Regarding this, the present study aimed to assess the success, patency, as well as early and late complications of cuffed femoral and jugular hemodialysis catheters Sepas et al (2019). Abstract: The design of a suitable catheter to achieve a permanent, economical, and efficient vascular pathway for hemodialysis has been always accompanied by difficult and potential [
  2. Maya ID, Allon M. Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 2005; 68:2886. Parienti JJ, Thirion M, Mégarbane B, et al. Femoral vs jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled trial
  3. The femoral vein is increasingly being used as a temporary route for dual-lumen hemodialysis catheter placement because it is thought to be safer than the internal jugular or subclavian vein sites. However, several factors preclude the wider use of indwelling femoral catheters for hemodialysis, including interference with ambulation and concern over bleeding, infection, and deep thrombosis
  4. Other complications such as bleeding, kinking, migration of the catheter, arterial puncture, retroperitoneal or femoral hematomas were not observed. We conclude that tunneled femoral catheters are suitable alternatives for long-term hemodialysis access

complications. INDICATIONS FOR USE: The AngioDynamics Schon XL Acute Hemodialysis Catheters is designed for acute hemodialysis and apheresis. It may be inserted percutaneously and is ideally placed in the internal jugular vein. Although this catheter may be inserted into the subclavian or femoral vein, the internal jugular is the preferred site The inside-out technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access. Few reports of its use in vascular surgery exist. The purpose of this article is to describe our version of the technique and report results. Between 2016 and 2017, the inside-out technique was performed on eight patients Thrombosis and infections are the common complications during catheter insertion as well as in the already inserted catheters. 3 An AVF is a rare but severe complication following catheterization for patients who require hemodialysis. We describe a case of an iatrogenic AVF after cannulation of the femoral vein for temporary HD leading to leg. Background: The replacement of the arterio-venous fistula with PTFE prostheses or central tunneled catheters is increasing due to the early exhaustion of autologous native accesses. The percentage of patients with tunneled catheters as vascular access for hemodialysis reaches between 15 to 25%, therefore, it is essential to improve the techniques used to avoid early and late complications, and.

Comparison of Effectiveness and Complications of Catheter Lock Solutions in Non-tunneled Hemodialysis Catheters - Full Text View HEMODIALYSIS - Definition, Indications, Equipment, Preparation of Double Lumen Catheter for Dialysis, Preparation for AV Shunts for Diathesis, Equipment Needed after the Procedure, For AV Fistula, For AV Shunt, Preparation of Equipment, Sites for Hemodialysis, Mechanism of hemodialysis, Types of Dailyzers, Systems Used in Delivering Dialysate, Nursing Care, Role of Nurse in Care of Patient.

Complications of Femoral and Subclavian Venous

Arteriovenous fistula formation is a rare complication of percutaneous femoral vein cannulation for hemodialysis. Symptoms and physical findings may be elusive and the lesion can proceed unnoticed. Data on all inserted catheters and catheter-related complications at follow-up were entered prospectively in a computerized patient data system by the caring nephrologist and dialysis nursing team. The decision on the type of catheter and place of insertion was left to the physician responsible for the patients' care at time of insertion

Rare complication of a dialysis catheter insertion

  1. No recent study of catheter-related DVT following the use of femoral lines has systematically searched for evidence of pulmonary embolism. Recent studies (representing a total of 743 patients) evaluating the complications and utility of femoral lines have reported no cases of clinically evident pulmonary embolism. 4
  2. (Fr) dialysis catheter was inserted into the right femoral vein for emergent HD. Active pulsation bleeding was observed around the catheter at the right inguinal area after first HD. A thrill was felt at the superficial femoral artery after the repair of its anterior side. Angiography revealed iatro
  3. Hemodialysis Catheters Alternate insertion sites include subclavian vein or femoral vein as required. The Medcomp® Tri-Flow™ Catheter is intended to be used less than (30) days. CONTRAINDICATIONS: • This catheter is result in serious trauma or fatal complications. CATHETER SECUREMENT AND WOUND DRESSING: 20. Suture the catheter to.

Femoral arteriovenous fistula: a complication of temporary

replacement therapy. Dialysis catheter placement can sometimes result in complications and they are dealt accordingly. Case 56-year-old female patient on Maintenance Hemodialysis underwent a new arteriovenous fistula (AVF) creation. She also underwent right tunneled femoral dialysis catheter insertion to cover dialysis till fistula is matured Although hemodialysis can be performed through a single-lumen catheter, in the United States, hemodialysis is performed through a double-lumen catheter (Fig. 22-1) or two single-lumen catheters (Fig. 22-2).Hemodialysis catheters, both nontunneled and tunneled, usually are made of either silicone or polyurethane, both of which are biocompatible and durable AB - The femoral vein is the most popular location for temporary catheterization during emergency hemodialysis. Common complications are infection, thrombosis, arterial puncture, and groin hematoma. We report herein a patient with femoral vein perforation and prevesical hematoma. KW - emergency department. KW - femoral hemodialysis catheter The main complications were ones [16,17]. 2 catheter tip thrombi, 3 tunnel infections and 11 fCVC- There is no agreement in literature on which tunnelled related bacteraemia (1.77 episodes per 1000 CVC-days). femoral CVC for haemodialysis is the most efficient, but Conclusion

Dialysis Safety CD

Transposition of the superficial femoral artery combined with ultrasound-guided returning-venous cannulation as a last resort for vascular access in a multi-complicated hemodialysis patient We experienced a multi-complicated hemodialysis patient who had intractable tunneled-cuffed catheter-related bacteremia and right atrial thrombosis, low. Fistula complications Types - RCF, BCF, Femoral, (PU/PTFE graft) <picture> Examination - infection, thrill, bruit, central stenosis, aneurysm, thrombosis, bleeding Investigation: USS - flows, thrombus, cellulitis Swabs, Hickman (dialysis nurses or heparin lock) and peripheral cultures 28 subclavian vein or femoral vein as required. • The curved Double Lumen Catheter Set is intended for internal jugular vein insertion. • This catheter is indicated for a duration less than (30) days. For femoral placement, monitor catheter condition closely. CONTRAINDICATIONS: • This catheter is intended for Short-Ter

Dialysis Catheters 101 - Renal Fellow Networ

femoral catheter: [ kath´ĕ-ter ] a tubular, flexible instrument, passed through body channels for withdrawal of fluids from (or introduction of fluids into) a body cavity. Straight catheters. May have one or two eyes, a round tip, or a whistle tip. These catheters are not self-retaining. acorn-tipped catheter one used in ureteropyelography. However, tunneled femoral catheters are viable options in patients who have exhausted other vascular accesses. [4] Knowledge of the surface anatomy is usually enough to cannulate the blood vessel of choice; however, the use of ultrasound has been shown to reduce complications rates, including hematoma, arterial access, pneumothorax, and central. Dialysis catheters are utilized for hemodialysis and continuous renal replacement techniques The Femoral Vein. The common femoral vein, otherwise known as the femoral vein, is the last of the most common sites of central line insertion. Peripherally inserted central catheters complications: In past research studies,. Catheters with similar design, but with different lengths, yield comparable results in patency, complications and cause of removal. Conclusions: We suggest using femoral catheters with lengths from 25 to 55 cm (from the cuff to the tip) to obtain best results because such lengths are necessary to reach positions near the right atrium Conclusions: Hemodialysis catheter-related complications were associated with longer ICU and hospital stays in cancer patients with AKI. Mild malfunction of the hemodialysis catheter was the most frequent complication. Patients with metastasis and sepsis, who used diuretics, and who used intermittent dialysis methods had milder catheter.

Renal Fellow Network: Femoral versus Intrajugular Dialysis

1. It is the source of infection. 2. The patient has improved and no longer needs dialysis. 3. Temporary catheter is converted to a tunneled catheter in a patient expected to need long term dialysis. Temporary dialysis catheters are convenient to place but they are prone to the most serious complications The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population. Crit Care Med . 2005 Jan. 33 (1. Catheter-related Complications Radiological placement of dialysis catheters is safer and more effective mainly due to fluoroscopy and ultra-sonographic guidance [3]. However, procedural complications might occur and include inadvertent arterial puncture, hematoma, pneumothorax, air embolism, malposition of the catheter, hematoma at the tunne

Tuneled catheters in femoral vein: does the length makesNovel trends in hemodialysis vascular access

The Femoral approach Diálisis y Trasplant

  1. INTRODUCTION. Central catheters provide dependable intravenous access and enable hemodynamic monitoring and blood sampling [].Although femoral vein cannulation is often considered less desirable due to higher complication rates, the femoral veins remain a reliable central venous access site, particularly under urgent or emergency circumstances []..
  2. failure of the tunneled hemodialysis catheter were malposi-tion and kinking. A tunneled hemodialysis catheter placed in the right internal jugular vein demonstrated significantly longer survival compared with one placed in the left internal jugular vein. Tunneled hemodialysis catheters placed in the femoral vein had the worst long-term survival
  3. Vas Cath for Dialysis is a large bore central venous catheter placed in the Jugular Vein or Femoral Vein and used for Dialysis to address Kidney Disease and Renal Failure. Vas Cath is a temporary dialysis catheter which can typically be used for up to 30 to 45 days
  4. DASS is a complication of AV fistulas and its incidence is reported as high as 8% in the current vascular literature. 3 DASS occurs secondary to retrograde flow from the artery distal to the AV anastomosis, and is seen most commonly when a large artery (brachial or superficial femoral) supplies blood through the fistula into a large, low.
  5. Introduction: It is unclear how to manage high risk hemodialysis patients who present with an indwelling catheter. The National Kidney Foundation Practice Guidelines urge prompt removal of the catheter, but the guidelines do not specifically address the problem of patients whose only option is a femoral arteriovenous (AV) graft
  6. The decision was made to initiate plasmapheresis after an informed consent was secured for a hemodialysis catheter insertion. A size 11-French (3.7 mm) 20 cm long hemodialysis catheter (Quinton, Covidien, Mansfield, MA, USA) was inserted into the right femoral vein by an ICU specialist
Temporary vascular access for hemodialysis

Background Patients with hemodialysis central venous catheters (HD CVCs) are susceptible to health care-associated infections, particularly hemodialysis catheter-related bloodstream infection (HD-CRBSI), which is associated with high mortality and health care costs. There have been few systematic attempts to reduce this burden and clinical practice remains highly variable Patients and catheters data A total of 126 temporary hemodialysis catheters were inserted at different sites in 93 patients over 2 years. The femoral vein was used for cannulation in 102 cases: right femoral vein in 76 and left femoral vein in 26, 23 were inserted in the right internal jugular vein and one in the left internal jugular vein

Aims . Vascular access is of prime importance for hemodialysis patients. We aimed to study early complications of hemodialysis catheters placed in different central veins in patients with acute or chronic renal failure with or without ultrasound (US ) guidance. Material and Methods . Patients who were admitted to our unit between March 2008 and December 2010 with need for vascular access have. Dialysis Catheter in Femoral Vein Received: July 30, 2016; Accepted: August 09, 2016; Published: August 16, 2016 Introduction Hemodialysis is important part of management in patients with severe metabolic acidosis and hyperkalemia. Central venous insertion of dialysis catheter in femoral vein and internal jugular vein is commonly performed Femoral venous catheterization is the most used technic in emergency he-modialysis. Some uncommon mechanical complications can occur during a catheterization. We report the case of an accidental migration of a guide wire during the placement of a hemodialysis femoral catheter. The case of a patient admitted in the nephrology department at Aristide Le Dantec University Hospital for malignant.

Emergency Femoral Hemodialysis Catheter Placement

The inside-out technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access Freeman et al (2019). Abstract: The inside-out technique eliminates the need for subclavian or femoral catheter placement by placing a supraclavicular catheter via a percutaneous femoral vein access Compared with nontunneled catheters, tunneled hemodialysis catheters are designed to be inserted into the skin several centimeters from the vein entry site. A polyester cuff on the tunneled hemodialysis catheter provides a point for tissue ingrowth inside the resulting subcutaneous tunnel Right Internal Jugular: 12-15 cm. Left Internal Jugular: 15-20 cm. Femoral Vein: 19-24 cm. HD catheters also tend to be more firm and unforgiving than TLCs, so use caution and ultrasound! Location selection. Consider coagulopathy, prior surgeries, altered anatomy, ability to tolerate lying flat etc. Generally, RIJ > LIJ > Femoral > subclavian The incidence of complications with femoral hemodialysis catheter was reported to be 0.2%. Massive retroperitoneal hemorrhage was associated with femoral vein cannulation [9]. In the United States about 5 million catheters are sold each year for different applications. The experience of doctors who perform catheter placement is crucial. Namely. Goal: Evaluate the importance and reasons of non-infectious complications of non-tunneled central venous catheterization in our hemodialysis unit. Patients and methods: The study, a prospective type, was conducted in the department of nephrology and hemodialysis of Yalgado Ouedraogo University Hospital Center (YO-UHC) in Ouagadougou, Burkina Faso, from 15 February to 30 June 2015

Hemodialysis vascular catheters review

A tunneled catheter is more comfortable and has fewer problems. 4. A longer catheter is needed when hemodialysis access is placed into the common femoral vein. Short hemodialysis catheters (<15 cm) have higher recirculation rates when the tip of the catheter is positioned in the iliac vein Introduction. It remains unclear whether peritoneal dialysis (PD) or hemodialysis (HD) is a better modality.[1, 2] HD has been preferred for its efficacy, rapid correction of metabolic and uremic abnormalities, and convenient vascular access.However, a higher mortality rate has been reported with HD through a central venous catheter compared with PD in patients aged 65 and over who required. HOWEVER - from a transplant surgeon's perspective, iliac vein and IVC thrombosis preventing subsequent transplantation is the direst complication of long-term dialysis catheter use. And for that reason, we've avoided use of very long femoral TDCs, preferring to use the left iliac vein whenever possible and placing the tip either right at or. Free Online Library: Beware: The femoral haemodialysis catheter--a surgeon's perspective.(CLINICAL ALERT) by South African Medical Journal; Health, general Chronic kidney failure Donation of organs, tissues, etc. Hemodialysis Equipment and supplies Safety and security measures Intravenous catheterization Kidney transplantation Kidneys Transplantation Surgeons Tissue donatio A hemodialysis catheter had been placed in the right subclavian vein for several months and had been removed recently. CVC malpositioning is most common when a left internal jugular vein or subclavian vein is cannulated; a large prospective study by Schummer et al. of 1,794 central line catheterizations by experienced providers found that 6.7%.

Although no such data is available from India but complications like migration of central venous catheters have been reported.1 Here we report two cases with unusual complications associated with central venous catheter and peripheral intravenous catheter used during dialysis in critically ill patients. Complications with this procedure depend to the site of catheterization and the skill of the operator. In addition to the common complications with femoral vein catheterization there are some rare usually preventable side effects related to guide wire and catheter. In our patient who underwent femoral hemodialysis and apheresis. It may be inserted percutaneously and is primarily placed in the internal jugular vein of an adult patient. Alternate insertion sites include subclavian vein as required. Catheters greater than 40 cm are intended for femoral vein insertion. This catheter is indicated for > 30 days long term placement catheter placement is impossible and the creation of permanent access in the forearm and upper arms has failed, a femoral catheter has to be maintained for longer time periods. Data on the long-term complications of femoral catheterization are very limited [3], although late complications concerning the upper limb, such a Transhepatic catheters were placed in the absence of an available peripheral venous site (11 patients) or for preservation of a single remaining venous site to achieve permanent vascular access. Safety was assessed by means of complications encountered, and catheter functionality was assessed by means of total access site service interval Temporary catheters were associated with a greater incidence of sAR than tunneled catheters (66.7% vs. 35.4%, p = 0.01). Femoral catheters were almost twice as likely to have evidence of significant recirculation when compared with internal jugular catheters (52.7% vs. 29.1%, p = 0.002). There was no significant difference in the duration of catheter use (64 ± 86.6 vs. 82.0 ± 74.7 days, p.