title: Urgent hemodialysis with the use of peripheral veins to avoid catheter insertion.
abstract: Urgent hemodialysis (HD) in patients with uremia is usually performed using a central vein catheter unless an arteriovenous fistula (AVF) was created in the predialysis period. We present a unique approach, in a patient in whom the first two HD sessions were conducted without implantation of a catheter or AVF. The perfectly developed peripheral veins of a professional bodybuilder served as vascular access allowing catheter insertion to be avoided. The aim of this short case report is to recall a forgotten method for performing urgent HD in patients without a fistula, but with suitably enlarged superficial veins.
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland. tgolebiowski@op.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Gołębiowski
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Letachowicz
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Letachowicz
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Kusztal
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Kanafa
authors.affiliation: Faculty of Medicine and Dentistry, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Wacław
authors.initials: W
authors.lastname: Weyde
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Klinger
mesh_terms: D000328:Adult; D004630:Emergencies; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000379:methods*; D014511:Uremia / Q000628:therapy*; D062666:Vascular Access Devices
keywords: Vascular access; hemodialysis; peripheral veins