Hi, I was wondering if any renal patients have had to have an emergency line placed in the leg or other part of the body because their fistula has failed? I would be interested to know where the operation is done, i.e. was it done on the renal ward or was it done in the X-Ray department by a Radiologist who are able to use a guide wire and imaging? I would also be interested in similar circumstances such as CVC tunnelling, whereby a catheter is placed in the neck or (internal jugular or subclavian vein) to enable dialysis until a fistula is created. Where is this operation performed?
Hope somebody can provide me with information on this subject of interest. Thank you.
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SPARKY1
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If your fistula failed then the easiest access they would use for emergency dialysis would be right in your groin area. I know it was done to me. Before they put a catheter in my chest and before my fistula developed. The procedure for me was performed by a radiologist. I had emergency dialysis done on me because I had so much fluid built up in my chest I could barely breath. I hope this helps with some of your questions.
Thanks for the reply and information squishyface. I kind of thought it was done by Radiologists as that would be safe practice under a professional and safe setting with imaging to access the artery. Thanks.
Sometimes they go in the neck depending on the patient.
Hello Sparky1. My kidneys failed suddenly last year and they had to put an emergency line in my groin area, femeral line. This only lasts a short length of time, so to continue treatment they needed to put in a more long term fixture so they put a neck line in. Both were done in a small theatre on the ward I was staying on. It was the first time in my life I had ever had any kind of procedure done but there was no pain or discomfort. Hope this helps.
Hi, I had a valve replaced in my heart, and had a line put in my neck as my fistula had not matured due to being less than a month old. This was done in the intensive care ward at the heart hospital. It was not painful being put in or taken out when I was on the renal ward.
I am a long time dialysis patient (8 years + (CAPD, APD and HD)).
I have had many lines fitted during this time. The tunnel chest line (Tessio) for me was done in the X-ray department. This was done using local anaesthetic, this is a bit stingy, the lines going in is I found a bit uncomfortable but, not painful. When the line went into the heart was a bit strange, because your heart shudders when the guide wire touches the heart wall, I was warned about this, and not every one gets this. It is also stitched into place so it cannot be pulled out. Post op there was mild pain treated with Paracetamol.
The Tesio can be used immediately for haemodialysis.
I had a central line fitted, this is very quick, carried out in ITU, I was awake, local anaesthetic, a bit of pushing, a couple of stiches done.
A neck line is much quicker to "install", I had one fitted in an emergency when I had septicaemia. Again, local-stingy, quick cut a bit of pushing, then pressing on the wound to stop any bleeding, a couple of stiches, a dressing, done.
Having any of this fitted is not nice, they are sore for a couple of days, but, are there to save your life. Also within a couple of dialysis sessions your symptoms should start to improve.
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