Inability to start hemodialysis after a smooth temporary hemodialysis catheter insertion procedure.
Cannulation of the central vein for placement of the temporary dual-lumen catheter for hemodialysis can usually be safely and reliably performed under ultrasonographic guidance. Here, we report a case of aberrant catheter entry into the internal thoracic vein during an apparently smooth procedure. The value of sonographic guidance, together with fluoroscopy with or without venography, will be discussed.
Tang
Sydney C W
SC
Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Lee
Raymand
R
Tse
Kai C
KC
Lai
Andrew S H
AS
Lai
Kar N
KN
D000368:Aged; D002405:Catheterization, Central Venous / Q000379:methods*; D019160:Endosonography; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D010690:Phlebography; D006435:Renal Dialysis / Q000379:methods*; D014680:Veins / Q000000981:diagnostic imaging