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Urgent hemodialysis with the use of peripheral veins to avoid catheter insertion
Author(s) -
Gołębiowski Tomasz,
Letachowicz Krzysztof,
Letachowicz Waldemar,
Kusztal Mariusz,
Kanafa Maciej,
Weyde Wacław,
Klinger Marian
Publication year - 2016
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12426
Subject(s) - medicine , hemodialysis , catheter , arteriovenous fistula , surgery , hemodialysis catheter , fistula , vascular access , vein , peripheral , uremia , central venous catheter
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.