Direct peripheral venopuncture: another new choice of temporary vascular access.
BACKGROUND
Femoral, subclavian, and internal jugular veins access have been widely used for temporary vascular access for hemodialysis, but their use has been associated with a significant complication rate. We report in three selected hemodialysis patients with the procedure of direct peripheral venopuncture as temporary vascular access to reduce complications.


METHODS
We have demonstrated hemodialysis via direct puncture of peripheral veins of the antecubital fossa (cephalic vein in the process of arterial inflow to dialyzer and venous outflow from dialyzer to basilic vein) as temporary vascular access for these patients.


RESULTS
Renal function of case 1 and case 2 progress to normal status after several sessions of dialytic therapy as well as quit hemodialysis, and case 3 successfully shifts to peritoneal dialysis following four sessions of dialytic therapy.


CONCLUSIONS
We recommend this short-term access contribute a important additional new choice in selected patients with acute, reversible renal failure, obstructive uropathy, initiation of peritoneal dialysis, patients on peritoneal dialysis with peritonitis, or under plasmapheresis therapy.
Chen
Y C
YC
Department of Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
Fang
J T
JT
Chang
C T
CT
Chang
M Y
MY
D058186:Acute Kidney Injury / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D005500:Follow-Up Studies; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D011677:Punctures; D006435:Renal Dialysis / Q000379:methods*; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D014680:Veins