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Would you pursue temporary dialysis catheter placement followed by hemodialysis in a hospitalized patient with ESKD who is not able to undergo urgent fistula repair for a non-functioning fistula and receives gadolinium for a MRI study?

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Would you pursue temporary dialysis catheter placement followed by hemodialysis in a hospitalized patient with ESKD who is not able to undergo urgent fistula repair for a non-functioning fistula and receives gadolinium for a MRI study?

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3 Answers
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Nephrology · Rush Medical College
Answered on

There is no role for hemodialysis following the GAD preparations we use these days.

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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

No. I believe the risk of NSF is now low enough for one to just wait until the fistula is working again. I would not subject the patient to a line placement.

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Nephrology · Ohio State Department Of Nephrology
Answered on

Probably yes, because most likely they'll need that catheter to have dialysis anyway before the fistula repair. If the repair is planned for the next day, I would probably hold off.

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