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Temporary vascular access via the external iliac vein as a salvage procedure: a report of two cases
H Tokgöz1, M Onaran, C Senocak
1Department of Urology, Ankara Cankaya Hospital, Ankara, Turkey. h_tokgoz@hotmail.com
Insights
Central venous catheters (CVCs) offer vital vascular access for hemodialysis. In rare cases where standard routes fail, the external iliac veins (EIVs) can serve as a last-resort option for temporary access.
Area of Science:
- Nephrology
- Vascular Surgery
- Interventional Radiology
Background:
- Central venous catheters (CVCs) are crucial for immediate vascular access (VA) in hemodialysis (HD).
- Common insertion sites include cephalic, jugular, subclavian, and femoral veins.
- Vascular access via these standard routes can become impossible in some patients.
Purpose of the Study:
- To report the use of external iliac veins (EIVs) as a temporary VA insertion site.
- To present a last-resort strategy for patients with failed standard CVC access.
Main Methods:
- Case report of two patients requiring temporary VA.
- Utilized external iliac veins (EIVs) for CVC insertion when conventional routes were unavailable.
Main Results:
- Successful temporary VA was achieved using the external iliac veins (EIVs) in both reported cases.
- Demonstrated the feasibility of EIVs as an alternative access site.
Conclusions:
- The external iliac veins (EIVs) can be a viable option for temporary vascular access in hemodialysis.
- This approach offers a solution for complex cases where standard CVC insertion is not possible.
Abstract:
Central venous catheters (CVCs) provide easy, immediate and rapid vascular access (VA) for hemodialysis (HD) in patients with acute renal failure (ARF), and in an increasing number of patients with end-stage renal disease (ESRD) as well. For this purpose, the vessels mainly used are the cephalic, jugular, subclavian and femoral veins. In some patients, vascular catheter insertion via these routes can become impossible. We report two hopeless cases, in which the external iliac veins (EIVs) were used as a temporary VA insertion site as a last resort.
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