title: End-stage vascular access: direct intra-atrial insertion of a dialysis catheter.
abstract: 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.
authors.affiliation: The West London Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom. l.wales@imperial.ac.uk
authors.forename: Lucy
authors.initials: L
authors.lastname: Wales
authors.forename: Jon R
authors.initials: JR
authors.lastname: Anderson
authors.forename: Albert
authors.initials: A
authors.lastname: Power
authors.forename: Tariq
authors.initials: T
authors.lastname: Dosani
authors.forename: Nadey S
authors.initials: NS
authors.lastname: Hakim
mesh_terms: 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*