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

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


Devanahalli Ashokananda, Murali Chakravarthy, Mohan Gowda, Pavani Maddirala, Sanjay Sripar 
 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

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.


How to cite this article:
Ashokananda D, Chakravarthy M, Gowda M, Maddirala P, Sripar S. Dilemma with the route of venous access for hemodialysis catheter insertion in a patient with dilated ischemic cardiomyopathy treated by cardiac resynchronization therapy.Ann Card Anaesth 2016;19:389-391


How to cite this URL:
Ashokananda D, Chakravarthy M, Gowda M, Maddirala P, Sripar S. Dilemma with the route of venous access for hemodialysis catheter insertion in a patient with dilated ischemic cardiomyopathy treated by cardiac resynchronization therapy. Ann Card Anaesth [serial online] 2016 [cited 2022 May 29 ];19:389-391
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=3;spage=389;epage=391;aulast=Ashokananda;type=0