Salvage of exhausted neck access using a novel inside‐out device in dialysis‐dependent patients

Chronic central venous occlusion represents a challenge for upper body central dialysis access for both surgical and endovascular interventions. The Surfacer (Surfacer Inside‐Out Access Catheter System) is a novel technique that offers a device‐based solution over various physician‐modified techniqu...

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Bibliographic Details
Published inHemodialysis international Vol. 23; no. 4; pp. E111 - E114
Main Authors Quek, Lawrence Han Hwee, Tan, Tracy Suet Mun, Tan, Glenn Wei Leong, Pua, Uei
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.10.2019
Subjects
Access
interventional nephrology
technical hemodialysis
Access
technical hemodialysis
interventional nephrology
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Summary:Chronic central venous occlusion represents a challenge for upper body central dialysis access for both surgical and endovascular interventions. The Surfacer (Surfacer Inside‐Out Access Catheter System) is a novel technique that offers a device‐based solution over various physician‐modified techniques in salvaging exhausted right‐sided neck veins for catheter placement. We report a retrospective series of four cases in which this system is used to gain upper body venous access from a single center in Singapore. This report seeks to integrate the understanding of the technical aspects of a new inside‐out device and its utility in recanalization of occluded right‐sided neck veins as it relates to Asian patients.
Bibliography:ObjectType-Case Study-2
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ISSN:1492-7535
1542-4758
DOI:10.1111/hdi.12770