Life-saving vascular access after combined liver and kidney transplantation: A challenging access to the right atrium

Chiara Grimaldi, Alessandro Crocoli, Roberta Angelico, Maria Cristina Saffioti, Simona Gerocarni Nappo, Fabrizio Chiusolo, Francesca Tortora, Sergio Giuseppe Picardo, Luca Dello Strologo, Maria Sole Basso, Lidia Monti, Paolo Guccione, Massimo Rollo, Marco Spada

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1129729818820516
JournalJournal of Vascular Access
DOIs
Publication statusE-pub ahead of print - Jan 4 2019

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Heart Atria
Liver Transplantation
Kidney Transplantation
Blood Vessels
Renal Dialysis
Superior Vena Cava
Dilatation
Dialysis
Pediatrics
Transplants
Kidney

Cite this

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title = "Life-saving vascular access after combined liver and kidney transplantation: A challenging access to the right atrium",
abstract = "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.",
author = "Chiara Grimaldi and Alessandro Crocoli and Roberta Angelico and Saffioti, {Maria Cristina} and Nappo, {Simona Gerocarni} and Fabrizio Chiusolo and Francesca Tortora and Picardo, {Sergio Giuseppe} and {Dello Strologo}, Luca and Basso, {Maria Sole} and Lidia Monti and Paolo Guccione and Massimo Rollo and Marco Spada",
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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 -