Unconventional vascular access for hemodialysis in patient with central vein occlusion

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“An attempt to cannulate inferior vena cava was unsuccessful. A cannulation of dilated collateral abdominal veins with dialysis needles allowed to perform several hemodialysis sessions in the patient.” Stróżecki et al (2014).

Reference:

Stróżecki, P., Flisiński, M., Serafin, Z., Wiechecka-Korenkiewicz, J. and Manitius, J. (2014) Abdominal Collateral Vein as an Unconventional Vascular Access for Hemodialysis in Patient with Central Vein Occlusion. Seminars in Dialysis. May 6th. [epub ahead of print].

Abstract:

A 65-year-old female patient with chronic kidney disease stage 5 and a history of spleen neoplasm with dissemination within peritoneum is presented. During 5 years of hemodialysis therapy, bilateral occlusion of brachiocephalic and iliac vein developed as a consequence of vein catheterization. An attempt to cannulate inferior vena cava was unsuccessful. A cannulation of dilated collateral abdominal veins with dialysis needles allowed to perform several hemodialysis sessions in the patient.

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