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Abdominal Collateral Vein as an Unconventional Vascular Access for Hemodialysis in Patient with Central Vein Occlusion

Authors

  • Paweł Stróżecki,

    Corresponding author
    1. Department of Nephrology, Hypertension and Internal Medicine, The Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Dr. Antoni Jurasz University Hospital No.1, Bydgoszcz, Poland
    • Address correspondence to: Paweł Stróżecki, MD, Department of Nephrology, Hypertension and Internal Medicine, Ul. M. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland, Tel.: +48 52 585 45 51, Fax: +48 52 585 40 30, or e-mail: st_pawel@cm.umk.pl.

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  • Mariusz Flisiński,

    1. Department of Nephrology, Hypertension and Internal Medicine, The Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Dr. Antoni Jurasz University Hospital No.1, Bydgoszcz, Poland
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  • Zbigniew Serafin,

    1. Department of Radiology and Diagnostic Imaging, The Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Dr. Antoni Jurasz University Hospital No.1, Bydgoszcz, Poland
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  • Joanna Wiechecka-Korenkiewicz,

    1. Department of Nephrology, Hypertension and Internal Medicine, The Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Dr. Antoni Jurasz University Hospital No.1, Bydgoszcz, Poland
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  • Jacek Manitius

    1. Department of Nephrology, Hypertension and Internal Medicine, The Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Dr. Antoni Jurasz University Hospital No.1, Bydgoszcz, Poland
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Abstract

A 65-year-old female patient with chronic kidney disease stage 5 and a history of spleen neoplasm with dissemination within peritoneum is presented. During 5 years of hemodialysis therapy, bilateral occlusion of brachiocephalic and iliac vein developed as a consequence of vein catheterization. An attempt to cannulate inferior vena cava was unsuccessful. A cannulation of dilated collateral abdominal veins with dialysis needles allowed to perform several hemodialysis sessions in the patient.

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