Journal of Postgraduate Medicine, Education and Research

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VOLUME 52 , ISSUE 3 ( July-September, 2018 ) > List of Articles

CASE REPORT

Salvage Technique for Complicated Hemodialysis Patients with Central Venous Occlusion

Leszek Sułkowski, Maciej Matyja, Artur Pasternak

Keywords : Central venous catheter, Complications, Hemodialysis, Vascular access, Venography

Citation Information : Sułkowski L, Matyja M, Pasternak A. Salvage Technique for Complicated Hemodialysis Patients with Central Venous Occlusion. J Postgrad Med Edu Res 2018; 52 (3):152-154.

DOI: 10.5005/jp-journals-10028-1292

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Background: Although safe, central venous catheters (CVCs) may cause several complications including central venous occlusions. The salvage access techniques are life-saving alternatives required for patients who have exhausted other access options. Technique: We present a technique of placing a permanent catheter in the femoral vein facing the dilated collaterals. This is done in case of iliac vein and vena cava thrombosis following placement of multiple CVCs. Conclusion: This technique might be an effective alternative to the translumbar approach when performed by an experienced operator in a well-equipped access center. It must not be attempted as a blind procedure. Salvaged access can be considered when other access options have been exhausted and only translumbar or transhepatic inferior vena cava accesses are left.


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