Alternative dialysis access strategies: A case report of a patient with transrenal hemodialysis catheter due to exhausted traditional routes and review of literature

Vascular access is the primary lifeline for patients with end-stage renal disease. While arteriovenous fistulas and grafts are the conventionally favored methods for dialysis therapy, certain patients may deplete these traditional vascular access options due to various reasons. In the quest for alte...

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Bibliographic Details
Published in:The journal of vascular access 2024-01, p.11297298231220534-11297298231220534
Main Authors: Shehab, Maysam, Griton, Igal, Kosykh, Stanislav, Bachar, Adi R, Haddad, Menashe, Rozenberg, Ilan
Format: Article
Language:English
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Summary:Vascular access is the primary lifeline for patients with end-stage renal disease. While arteriovenous fistulas and grafts are the conventionally favored methods for dialysis therapy, certain patients may deplete these traditional vascular access options due to various reasons. In the quest for alternatives, unconventional vascular pathways could be considered, including transhepatic, trans-lumbar and trans-renal approaches. We present a case of a 61-year-old male who exhausted all the traditional vascular access options, therefore trans-renal hemodialysis catheter placement was performed. Overall, this case highlights the challenges of securing a reliable vascular access to perform dialysis therapy and implementing unconventional methods whenever regular means are exhausted.
ISSN:1129-7298
1724-6032
DOI:10.1177/11297298231220534