Evidence

Background: Although vascular access is essential for adequate haemodialysis delivery, the systematic use of a patient\'s venous patrimony may eventually lead to exhaustion of suitable sites for placement of a new vascular access.

Case Report: We present two cases of such patients. In the first one we inserted a 55cm catheter through the left external iliac vein, and a 40cm translumbar catheter was placed in the second one. Both interventions were performed percutaneously under radiological guidance. Both patients were anticoagulated after the procedure.

Conclusion: Unusual sites for haemodialysis catheter placement may be life saving in selected situations and offer safe and viable alternatives for adequate haemodialysis delivery.

Credits: Port J Nephrol Hypert 2013; 27(1): 49-54 - Fernando Caeiro, Dulce Carvalho, Sandra Brum, Fernando Nolasco

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