Abstract
Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver-kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses.
Keywords:
End-stage liver disease; children; end-stage kidney disease; hemodialysis; kidney transplantation; liver transplantation.
MeSH terms
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Angioplasty, Balloon*
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Catheterization, Central Venous / methods*
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Child
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Delayed Graft Function / diagnosis
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Delayed Graft Function / etiology
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Delayed Graft Function / physiopathology
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Delayed Graft Function / therapy*
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Humans
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Kidney Diseases / diagnosis
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Kidney Diseases / etiology
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Kidney Diseases / physiopathology
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Kidney Diseases / therapy*
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Kidney Diseases, Cystic / complications
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Kidney Diseases, Cystic / diagnosis
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Kidney Diseases, Cystic / surgery*
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Kidney Transplantation / adverse effects*
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Liver Cirrhosis / complications
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Liver Cirrhosis / diagnosis
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Liver Cirrhosis / surgery*
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Liver Transplantation / adverse effects*
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Male
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Phlebography
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Renal Dialysis*
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Treatment Outcome
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Vascular Calcification / diagnostic imaging
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Vascular Calcification / physiopathology
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Vascular Calcification / therapy*
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Vascular Patency
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Vena Cava, Superior* / diagnostic imaging
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Vena Cava, Superior* / physiopathology