Sunday, April 10, 2016

Q: Ideally tip of transhepatic dialysis catheter should be located at

A) Right Atrium
B) Right Ventricle
C) Subclavian vein
D) Hepatic Vein
E) Iliac Vein


Answer: A

Transhepatic dialysis catheter is usually inserted as a last resort or as an emergent temporary measure.  The Catheter is placed under radiology surveillance transcutaneously and via hepatic vein into the right atrium. Catheters can be placed inferiorly into inferior cava in special circumstances but ideally, tip should lie in right atrium.

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