Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Feb;41(2):339-346.
doi: 10.1007/s10554-024-03313-6. Epub 2024 Dec 28.

Translumbar and Transhepatic Tunneled Dialysis Catheter Placements in the End Stage Renal Disease Population

Daniel Raskin  1 , Levester Kirksey  2 , Michael Bergen  3 , Sameer Gadani  3 , Abraham Levitin  3 , Jon G Quatromoni  2 , Sean P Lyden  2 , Hans Michell  3 , Cassandra Kovach  4 , Sasan Partovi  3
Affiliations
Review

Translumbar and Transhepatic Tunneled Dialysis Catheter Placements in the End Stage Renal Disease Population

Daniel Raskin et al. Int J Cardiovasc Imaging. 2025 Feb.

Abstract

For end-stage renal disease (ESRD) patients requiring hemodialysis, reliable vascular access is crucial, especially when conventional supradiaphragmatic options are exhausted. This study reviews the technical aspects, clinical outcomes, and complications of translumbar and transhepatic tunneled dialysis catheter (TDC) placements. These alternative infradiaphragmatic approaches provide essential hemodialysis access for patients with central venous occlusions. Translumbar catheter placement is associated with high technical success rates and prolonged patency, while the transhepatic approach serves as a last resort for patients with both superior and inferior vena cava occlusions. Careful patient selection and operator expertise are critical for placement of these advanced infradiaphragmatic dialysis catheter approaches.

Keywords: End-stage renal disease; Hemodialysis; Transhepatic dialysis catheter; Translumbar dialysis catheter; Vascular access.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Chan MR, Yevzlin AS (2009) Tunneled dialysis catheters: recent trends and future directions. Adv Chronic Kidney Dis 16(5):386–395. https://doi.org/10.1053/j.ackd.2009.06.006 - DOI - PubMed
    1. Thurlow JS, Joshi M, Yan G, Norris KC, Agodoa LY, Yuan CM, Nee R (2021) Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy. Am J Nephrol 52(2):98–107 - DOI - PubMed
    1. Lok CE, Mokrzycki MH (2011) Prevention and management of catheter-related infection in hemodialysis patients. Kidney Int 79(6):587–598. https://doi.org/10.1038/ki.2010.471 - DOI - PubMed
    1. Labriola L, Seront B, Crott R et al (2011) Superior vena cava stenosis in haemodialysis patients with a tunneled cuffed catheter: prevalence and risk factors. Nephrol Dial Transplant 26(3):961–966. https://doi.org/10.1093/ndt/gfq586 - DOI
    1. Maya ID, Allon M (2005) Outcomes of tunneled femoral hemodialysis catheters: comparison with internal jugular vein catheters. Kidney Int 68(6):2886–2889. https://doi.org/10.1111/j.1523-1755.2005.00778.x - DOI - PubMed

MeSH terms

LinkOut - more resources