title: [Atypical obstruction during a hemodialysis catheter replacement].
abstract: We followed a 60-year-old woman in our department for a vascular chronic kidney disease. The peritoneal dialysis was stopped because of a Candida albicans catheter infection. As the patient refused the arterio-venous fistula creation, we have placed a central venous catheter (Medcomp 32cm). Because the instability of the cuff, we decided to remove and change it by another one (Quinton 40cm). The discovery of an important cylindrical calcification has complicated the manipulation requiring tranquility and agility. The finding of a massive calcification is uncommon and confirms the major risk of calcification in chronic kidney disease patients.
authors.affiliation: Service de néphrologie-dialyse-transplantation, hôpital Édouard-Herriot, hospices civils de Lyon, place d'Arsonval, Lyon cedex, France. william.hanf@hotmail.fr
authors.forename: William
authors.initials: W
authors.lastname: Hanf
authors.forename: Eric
authors.initials: E
authors.lastname: Pouliquen
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Glachant
mesh_terms: D002114:Calcinosis / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis