End-stage vascular access: direct intra-atrial insertion of a dialysis catheter.
Central venous occlusions are a frequent problem in hemodialysis patients. We describe the case of a patient with end-stage vascular access in whom we successfully inserted a direct intra-atrial dialysis line during coronary artery bypass grafting. This technique could be a significant contribution to patients in whom alternative vascular access options are exhausted.
Wales
Lucy
L
The West London Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom. l.wales@imperial.ac.uk
Anderson
Jon R
JR
Power
Albert
A
Dosani
Tariq
T
Hakim
Nadey S
NS
D002408:Catheters, Indwelling; D001026:Coronary Artery Bypass; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications; D006435:Renal Dialysis / Q000379:methods*