Urgent hemodialysis with the use of peripheral veins to avoid catheter insertion

Tomasz Gołębiowski1, Krzysztof Letachowicz2, Waldemar Letachowicz2

  • 1Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland. tgolebiowski@op.pl.

Hemodialysis International. International Symposium on Home Hemodialysis
|May 11, 2016
PubMed

Urgent hemodialysis (HD) in patients with uremia is usually performed using a central vein catheter unless an arteriovenous fistula (AVF) was created in the predialysis period. We present a unique approach, in a patient in whom the first two HD sessions were conducted without implantation of a catheter or AVF. The perfectly developed peripheral veins of a professional bodybuilder served as vascular access allowing catheter insertion to be avoided. The aim of this short case report is to recall a forgotten method for performing urgent HD in patients without a fistula, but with suitably enlarged superficial veins.

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