Translumbar placement of paired hemodialysis catheters (tesio catheters) and follow-up in 10 patients

For lack of other suitable access, 10 consecutive patients received paired hemodialysis catheters for long-term hemodialysis using a translumbar appro ach to the inferior vena cava (IVC). All attempts were successful. Five pai red catheters were placed using the single-puncture technique, and five usi ng the dual-puncture technique. Catheters were in place for a total of 2252 catheter days. The average duration of catheter placement was 250 days (ra nge 30-580 days). All catheters were functioning up to the time the study w as completed or the patient died. The most common complication was partial dislodgment of the catheter in 3 of 23 catheters (13%), all occurring in ob ese patients. One episode of retroperitoneal hemorrhage was noted in a pati ent having the single-access technique. There were no episodes of infection or IVC thrombosis.