Dialysis vascular access restoration by a transcollateral approach using the Surfacer® Inside-Out® Access Catheter System

J Vasc Access. 2023 Nov;24(6):1521-1524. doi: 10.1177/11297298221085457. Epub 2022 Apr 8.

Abstract

Chronic thoracic venous occlusion (CTVO) as a result of repeated or prolonged central venous catheter insertion represents a significant problem in catheter-dependent patients. Different endovascular techniques techniques have been utilised for CTVO recanalization. The Surfacer® Inside-out® system represents a new approach to restore right-sided central venous access in CTVO by the inside-out recanalization technique. Standard approach for device implantation is through right femoral vein. In this case report, we report the first case to our knowledge of dialysis access restoration with Surfacer® system implantation via an unconventional and non-standard route by a transcollateral approach in a patient with exhausted vascular access options.

Keywords: Dialysis; catheters; occlusion; recanalization; vascular access.

Publication types

  • Case Reports

MeSH terms

  • Catheterization, Central Venous*
  • Catheters, Indwelling
  • Central Venous Catheters*
  • Femoral Vein / diagnostic imaging
  • Humans
  • Renal Dialysis
  • Treatment Outcome