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Inability to start hemodialysis after a smooth temporary hemodialysis catheter insertion procedure
Authors:Tang Sydney C W  Lee Raymand  Tse Kai C  Lai Andrew S H  Lai Kar N
Affiliation:Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Abstract:Cannulation of the central vein for placement of the temporary dual-lumen catheter for hemodialysis can usually be safely and reliably performed under ultrasonographic guidance. Here, we report a case of aberrant catheter entry into the internal thoracic vein during an apparently smooth procedure. The value of sonographic guidance, together with fluoroscopy with or without venography, will be discussed.
Keywords:Central venous catheter  hemodialysis  internal thoracic vein  venography
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