Percutaneous Transhepatic Tunneled Dialysis Catheter For Hemodialysis Access Failure
Main Article Content
Abstract
Vascular access failure is not only a big challenge for nephrologists but also a big threat for patients on haemodialysis. Due to various causes, hemodialysis patients land eventually at this dead end. Patients who have undergone multiple surgeries have intrabdominal adhesions which makes peritoneal dialysis impossible. Such patients have two options; translumbar and transhepatic access. We report a case of a 54-year-old woman who had vascular access failure. She was obese and was apprehensive about the translumbar approach of tunneled catheter placement. The transhepatic tunneled catheter was planned and under ultrasound and fluoroscopy guidance, it was inserted. The patient is undergoing hemodialysis from this access successfully.
Article Details
Copyright (c) 2025 Azad P, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of Clinical Nephrology is committed in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. In order to use the Open Access paradigm to the maximum extent in true terms as free of charge online access along with usage right, we grant usage rights through the use of specific Creative Commons license.
License: Copyright © 2017 - 2025 | 
Open Access by Journal of Clinical Nephrology is licensed under a Creative Commons Attribution 4.0 International License. Based on a work at Heighten Science Publications Inc.
With this license, the authors are allowed that after publishing with the journal, they can share their research by posting a free draft copy of their article to any repository or website.
Compliance 'CC BY' license helps in:
| Permission to read and download | ✓ |
| Permission to display in a repository | ✓ |
| Permission to translate | ✓ |
| Commercial uses of manuscript | ✓ |
'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license.
Bello AK, Okpechi IG, Osman MA, Yeoungjee Cho, Htay Htay, Vivekanand Jha, et al. Epidemiology of haemodialysis outcomes. Nat Rev Nephrol. 2022;18:378–395. Available from: https://doi.org/10.1038/s41581-022-00542-7
Malviya PB, Andrews R, Ghodke A, Patel B, Reddy A. Percutaneous transhepatic vein permcath: A case report. Indian J Nephrol. 2020;30:430-2. Available from: https://doi.org/10.4103/ijn.ijn_47_20
Rathod K, Mahajan P, Thakkar D, Jamale T, Deshmukh H. Fluoroscopy and CT Guided Translumbar Tunneled Dialysis Catheter for Hemodialysis Access Failure in a Case of Autosomal Dominant Polycystic Kidney Disease. Indian J Nephrol. 2023;33(1):70-74. Available from: https://doi.org/10.4103/ijn.ijn_429_21
Murdeshwar HN, Anjum F. Hemodialysis. 2023 Apr 27. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563296/
Pereira K, Osiason A, Salsamendi J. Vascular access for placement of tunneled dialysis catheters for hemodialysis: A systematic approach and clinical practice algorithm. J Clin Imaging Sci. 2015;5:31. Available from: https://doi.org/10.4103/2156-7514.157858
Denny DF Jr. Venous access salvage techniques. Tech Vasc Interv Radiol. 2011;14:225-32. Available from: https://doi.org/10.1053/j.tvir.2011.05.006
Azizkhan RG, Taylor LA, Jaques PF, Mauro MA, Lacey SR. Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children. J Pediatr Surg. 1992;27:165-9. Available from: https://doi.org/10.1016/0022-3468(92)90305-q
Wong JK, Sadler DJ, McCarthy M, Saliken JC, So CB, Gray RR. Analysis of early failure of tunneled hemodialysis catheters. AJR Am J Roentgenol. 2002;179:357-63. Available from: https://doi.org/10.2214/ajr.179.2.1790357
Funaki B. Central venous access: A primer for the diagnostic radiologist. AJR Am J Roentgenol. 2002;179:309-18. Available from: https://doi.org/10.2214/ajr.179.2.1790309
Po CL, Koolpe HA, Allen S, Alvez LD, Raja RM. Transhepatic perm cath for hemodialysis. Am J Kidney Dis. 1994;24:590-591. Available from: https://doi.org/10.1016/s0272-6386(12)80218-6
Stavropoulos SW, Pan JJ, Clark TW, Soulen MC, Shlansky-Goldberg RD, Itkin M, et al. Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol. 2003;14(9 Pt 1):1187-90. Available from: https://doi.org/10.1097/01.rvi.0000085770.63355.f2
Younes HK, Pettigrew CD, Anaya-Ayala JE, Soltes G, Saad WE, Davies MG, et al. Transhepatic hemodialysis catheters: Functional outcome and comparison between early and late failure. J Vasc Interv Radiol. 2011;22:183-91. Available from: https://doi.org/10.1016/j.jvir.2010.10.011
Khallaf OAN, Abd El Tawab KA, Korashi HI, Ghada Samir Ibrahim, Rasha Samir Mohamed. Percutaneous transhepatic hemodialysis catheters in chronic hemodialysis patients: technique, functional outcome, and complications from a large population study. Egypt J Radiol Nucl Med. 2019;50:82. Available from: https://doi.org/10.1186/s43055-019-0074-z
Smith TP, Ryan JM, Reddan DN. Transhepatic catheter access for hemodialysis. Radiology. 2004;232:246-51. Available from: http://dx.doi.org/10.1016/S0749-4041(08)70211-2
da Motta-Leal-Filho JM, Carnevale FC, Nasser F, de Oliveira Sousa Junior W, Zurstrassen CE, Moreira AM, et al. Percutaneous transhepatic venous access for hemodialysis: an alternative route for patients with end-stage renal failure. J Vasc Bras. 2010;9(3):131.
El Gharib M, Niazi G, Makkeyah WHY. Transhepatic venous catheters for hemodialysis. Egypt J Radiol Nucl Med. 2014;45(2):431-438. Available from: https://doi.org/10.1016/j.ejrnm.2014.01.008