title: Placement of a catheter through the struts of a previously placed stent for maintenance hemodialysis: a case report.
abstract: Venous accesses for hemodialysis are beset with thrombosis and stenosis, often resulting in loss of central venous access. We report a case in which an alternate access was created by placement of hemodialysis catheter into the central vasculature by penetrating a stent previously placed in the stenosed right brachio-cephalic vein. To our knowledge, this is the first such report.
authors.affiliation: Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Joseph
authors.forename: Shyamkumar N
authors.initials: SN
authors.lastname: Keshava
authors.forename: R S Surendrababu
authors.initials: RS
authors.lastname: Narayanam
authors.forename: George T
authors.initials: GT
authors.lastname: John
mesh_terms: D000328:Adult; D002404:Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000295:instrumentation*; D015607:Stents