Abstract
Key Clinical MessageCentral venous catheterization can be challenging in patients that had undergone repeated catheter placements. Ultrasound scan may overlook venous stenosis which is better visualized using venography. The use of venography should be considered to assess for venous stenosis or vascular anomalies in individuals with multiple catheterizations or in close proximity to cancer.
Highlights
The use of venography should be considered to assess for venous stenosis or vascular anomalies in individuals with multiple catheterizations or in close proximity to cancer
This case report describes the fracture of a temporary femoral hemodialysis catheter during placement in an old man with gastric carcinoma and extensive abdominal and retroperitoneal metastasis, in an attempt to draw lessons from and nurture experience among practitioners
A 76-year-old man was admitted with acute kidney injury and anuria
Summary
Central venous catheterization can be challenging in patients that had undergone repeated catheter placements. Ultrasound scan may overlook venous stenosis which is better visualized using venography. The use of venography should be considered to assess for venous stenosis or vascular anomalies in individuals with multiple catheterizations or in close proximity to cancer. Funding Information No sources of funding were declared for this study. Received: 21 September 2017; Revised: 28 November 2017; Accepted: 14 December 2017
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