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.

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