We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction” Grimaldi et al (2019).
Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses.
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Grimaldi, C., Crocoli, A., Angelico, R., Saffioti, M.C., Nappo, S.G., Chiusolo, F., Tortora, F., Picardo, S.G., Dello Strologo, L., Basso, M.S., Monti, L., Guccione, P., Rollo, M. and Spada, M. (2019) Life-saving vascular access after combined liver and kidney transplantation: A challenging access to the right atrium. The Journal of Vascular Access. January 4th. .