1. Carotid artery tortuosity may pose a problem during insertion of the tunneled catheter for hemodialysis
- Author
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Agata Szczurowska, Krzysztof Letachowicz, Tomasz Gołębiowski, Mariusz Kusztal, Dariusz Janczak, Magdalena Krajewska, Konrad Majchrzak, Paweł Poznański, Marcin Miś, and Andrzej Konieczny
- Subjects
Male ,Catheterization, Central Venous ,medicine.medical_specialty ,Computed Tomography Angiography ,Vascular Malformations ,Cervical Artery ,medicine.medical_treatment ,0206 medical engineering ,Biomedical Engineering ,Medicine (miscellaneous) ,Bioengineering ,02 engineering and technology ,030204 cardiovascular system & hematology ,Tortuosity ,End stage renal disease ,Biomaterials ,03 medical and health sciences ,Catheters, Indwelling ,Imaging, Three-Dimensional ,0302 clinical medicine ,Renal Dialysis ,Risk Factors ,medicine ,Central Venous Catheters ,Humans ,Renal replacement therapy ,Ultrasonography, Doppler, Color ,Aged ,Catheter insertion ,medicine.diagnostic_test ,business.industry ,Carotid artery tortuosity ,General Medicine ,020601 biomedical engineering ,Carotid Arteries ,Kidney Failure, Chronic ,Hemodialysis ,Radiology ,business ,Cerebral angiography - Abstract
Tortuosity of the carotid artery is usually an asymptomatic vascular abnormality and is discovered accidentally during cerebral angiography. These vascular changes may aggravate surgical procedures in the neck region. We described a technique of permanent catheter insertion in patients with renal graft failure in whom renal replacement therapy was necessary. Severe tortuosity of cervical arteries may make this procedure more difficult, necessitating a special technique, that is, full image monitoring.
- Published
- 2020
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