title: Hemodialysis catheter insertion using transrenal approach.
abstract: We report a patient suffering from end-stage renal disease (ESRD) because of lupus nephritis presented with exhausted vascular access after multiple arteriovenous grafts creation and hemodialysis catheters insertion. A rare percutaneous transrenal approach was finally used for the insertion of dialysis catheter. After 2 years, this hemodialysis catheter was complicated by blockage but was successfully replaced by a new catheter via the same site. Our report shows that the transrenal route of hemodialysis catheter insertion can provide a glimpse of hope for those ESRD patients with exhausted vascular access.
authors.affiliation: Renal Unit, Department of Medicine, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Wai Ping
authors.initials: WP
authors.lastname: Law
authors.affiliation: Renal Unit, Department of Medicine, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Chi Yuen
authors.initials: CY
authors.lastname: Cheung
authors.affiliation: Renal Unit, Department of Medicine, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Hoi Wong
authors.initials: HW
authors.lastname: Chan
authors.affiliation: Department of Radiology and Imaging, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Philip Chong-Hei
authors.initials: PC
authors.lastname: Kwok
authors.affiliation: Renal Unit, Department of Medicine, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Wai Leung
authors.initials: WL
authors.lastname: Chak
authors.affiliation: Renal Unit, Department of Medicine, Queen Elizabeth Hospital, Hong Kong.
authors.forename: Ka Foon
authors.initials: KF
authors.lastname: Chau
mesh_terms: D000328:Adult; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D006435:Renal Dialysis / Q000295:instrumentation* / Q000379:methods
keywords: Hemodialysis; transrenal; vascular access