23ème Cours Congrès Société Francophone Abord Vasculaire

7 au 9 JUIN 2018

BORDEAUX

Occlusion chronique des veines centrale et mise en place d’un cathéter : encoreune contre-indication ?

LUIGI NOVELLI

Clinique Alleray-Labrouste,Clinique du Parc Monceau

HPSJ Paris, FRANCE

CHANGEMENT DE KT

1° INFECTION

2° THROMBOSE ?

INFECTION:

A Comparison of Guide WireDirected Catheter Exchange (GWE) Versus Catheter Removal in Tunneled Hemodialysis Catheter (TDC)-Associated Bacteremia Anthony M. Valeri* Central Journal of Clinical Nephrology and Research

Conclusions: Guide wire-assisted catheter exchange (GWE) was a safe and effective method of treatment for all types of TDC-related bacteremias in the absence of sepsis or tunnel infection.

Malfunctioning and Infected Tunneled Infusion Catheters: Over-the-Wire Catheter Exchange versus Catheter Removal and ReplacementMay 2011Journal of vascular and interventional radiology: JVIR 22(5):642-6; .Catheter-exchange of tunneled infusion catheters results in a higher infection rate compared with removal-replacement at a new site

THROMBOSE

Thrombose kt???

Thrombose veine ????

SVP AVANT DE RETIRE UN KT CENTRALE ……

CALL A RADIOLOGIST

APPELEZ RADIOLOGUE/CHIR VASC

Dilatation de veines centrales B. Dolmatch

2016, Ajaccio

JUGULAIRE

JUGULAIRE

JUGULAIRE:PONCTION DIRECTE MEDIASTIN TBCV

Occlusion TBCV

Cardiovasc Intervent Radiol. 2003 MarApr;26(2):123-7.Incidence of central vein stenosis and occlusion following upper extremity PICC and port placement.Gonsalves CF1,

Initial : 2.6 % de lésions des TVP

7% incidence of central vein stenosis or occlusion was found in patients with prior indwelling catheters and normal initial venogram

9.6%

Case Rep Radiol.Published online 2017 Apr 10. Gernot RottPort Placement via the Anterior Jugular Venous System: Case Report, Anatomic Considerations, and Literature Review

Echec de recanalisation

Echec de recanalisation

Sivananthan•Vol. 16 Issue 4 | Jul-Aug 2015 JVA

Recanalisation avec un guide de radiofréquence • 24% des échecs

Sharp recanalization of central venous occlusions: a useful technique for haemodialysis line insertion.Athreya S Br J Radiol. 2009 Feb;82(974):105-8.

Echec de recanalisationTrans collatéral technique

GRAZIE PER LA VOSTRA ATTENZIONE