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Danja S. Groves, Ulf Harding, Christian Lanckohr, Antje Gottschalk, John A. Kern and Christoph Schmidt Repeated Neurological Complications during Dialysis – A Case for Echo? Echocardiography 31

Article first published online: 9 NOV 2013 | DOI: 10.1111/echo.12397


A 65-year old woman presented with acute or chronic renal failure and signs of right heart failure. Renal replacement therapy—using a surgically placed dialysis catheter via the left jugular vein—was repeatedly complicated by altered flows of the dialysis unit, impaired consciousness, new onset of seizures and left-sided hemiparesis. The tip of the dialysis catheter was detected on transesophageal echocardiography within the lumen of the ascending aorta. Further imaging of the neck vessels demonstrated a primary placement of the catheter in the left common carotid artery. This incident underscores the value of ultrasound guidance for placement of intravascular catheters.

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