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Dilemma with the route of venous access for hemodialysis catheter insertion in a patient with dilated ischemic cardiomyopathy treated by cardiac resynchronization therapy


Department of Anesthesia, Consultant Anesthesiologist, Critical Care and Pain Relief, Fortis Hospitals, Bannerghatta Road, Bangalore, Karnataka, India

Correspondence Address:
Murali Chakravarthy
Fortis Hospitals, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.185515

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Year : 2016  |  Volume : 19  |  Issue : 3  |  Page : 389-391

 

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A 68 year old patient requiring urgent dialysis due to raising potassium was referred to our center. He had 3 indwelling catheters in his heart via right subclavian vein. His left subclavian and interngal jugular veins were thrombosed possibly due to earlier indwelling catheters. The dilemma was if right internal jugular venous route could be used for insertion of dialysis catheter. Under fluoroscopic guidance, right internal jugular vein was cannulated with the dialysis catheter without problems. This case is being presented to highlight the need for imaging both by ultrasound and radiography during the procedure.






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Department of Anesthesia, Consultant Anesthesiologist, Critical Care and Pain Relief, Fortis Hospitals, Bannerghatta Road, Bangalore, Karnataka, India

Correspondence Address:
Murali Chakravarthy
Fortis Hospitals, Bengaluru, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.185515

Rights and Permissions

A 68 year old patient requiring urgent dialysis due to raising potassium was referred to our center. He had 3 indwelling catheters in his heart via right subclavian vein. His left subclavian and interngal jugular veins were thrombosed possibly due to earlier indwelling catheters. The dilemma was if right internal jugular venous route could be used for insertion of dialysis catheter. Under fluoroscopic guidance, right internal jugular vein was cannulated with the dialysis catheter without problems. This case is being presented to highlight the need for imaging both by ultrasound and radiography during the procedure.






[FULL TEXT] [PDF]*


        
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