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

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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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