title: Right intra-atrial catheter insertion at the end stage of peripheral vascular access for dialysis.
abstract: The number of patients with end-stage renal failure requiring dialysis keeps increasing every year. Many of these patients also suffer from peripheral arterial disease. We report the case of a middle age woman receiving dialysis who had undergone amputation of both lower limbs and suffered multiple deep venous thrombosis. Therefore, peripheral accesses for venous dialysis were not available. A catheter had to be implanted right into the right atrium.
authors.affiliation: Department of Cardiovascular Surgery, Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040 Madrid, Spain. enrique.villagran@yahoo.es
authors.forename: Enrique
authors.initials: E
authors.lastname: Villagrán Medinilla
authors.forename: Manuel
authors.initials: M
authors.lastname: Carnero
authors.forename: Jacobo A
authors.initials: JA
authors.lastname: Silva
authors.forename: José E
authors.initials: JE
authors.lastname: Rodríguez
mesh_terms: D000671:Amputation, Surgical; D006328:Cardiac Catheterization; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications / Q000601:surgery*; D006435:Renal Dialysis; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000150:complications*