Abstract
Hemodialysis is important part of management in patients with severe metabolic acidosis and hyperkalemia. Central venous insertion of dialysis catheter in femoral vein and internal jugular vein is commonly performed. Efficacy of dialysis depends on proper inflow and outflow of blood through dialysis catheter. Inadequate free flow in one port of dialysis catheter does not always mean blockage of the catheter. We need to know anatomical course of the vein to understand the mechanism of inadequate flow.
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