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?
3 Answers
Mednet Member
Nephrology · Rush Medical College
There is no role for hemodialysis following the GAD preparations we use these days.
Mednet Member
Nephrology · University Of California San Francisco Medical Center At Parnassus
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.