Abstract

CAEIRO, Fernando; CARVALHO, Dulce; BRUM, Sandra  and  NOLASCO, Fernando. Unusual solutions for catheter placement in haemodialysis patients. Port J Nephrol Hypert [online]. 2013, vol.27, n.1, pp.49-54. ISSN 0872-0169.

Background:Although vascular access is essential for adequate haemodialysis delivery, the systematic use of a patient's venous patrimony may eventually lead to exhaustion of suitable sites for placement of a new vascular access. Case Report: We present two cases of such patients. In the first one we inserted a 55cm catheter through the left external iliac vein, and a 40cm translumbar catheter was placed in the second one. Both interventions were performed percutaneously under radiological guidance. Both patients were anticoagulated after the procedure. Conclusion: Unusual sites for haemodialysis catheter placement may be life saving in selected situations and offer safe and viable alternatives for adequate haemodialysis delivery.

Keywords : Catheters; haemodialysis; vascular access failure.

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