TY - JOUR
T1 - Life-saving vascular access after combined liver and kidney transplantation
T2 - A challenging access to the right atrium
AU - Grimaldi, Chiara
AU - Crocoli, Alessandro
AU - Angelico, Roberta
AU - Saffioti, Maria Cristina
AU - Nappo, Simona Gerocarni
AU - Chiusolo, Fabrizio
AU - Tortora, Francesca
AU - Picardo, Sergio Giuseppe
AU - Dello Strologo, Luca
AU - Basso, Maria Sole
AU - Monti, Lidia
AU - Guccione, Paolo
AU - Rollo, Massimo
AU - Spada, Marco
PY - 2019/1/4
Y1 - 2019/1/4
N2 - Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses.
AB - Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses.
U2 - 10.1177/1129729818820516
DO - 10.1177/1129729818820516
M3 - Article
C2 - 30608014
SP - 1129729818820516
JO - Journal of Vascular Access
JF - Journal of Vascular Access
SN - 1129-7298
ER -