Dilemma with the route of venous access for hemodialysis catheter insertion in a patient with dilated ischemic cardiomyopathy treated by cardiac resynchronization therapy
- Resource Type
- Authors
- Murali Chakravarthy; Pavani Maddirala; Devanahalli Ashokananda; Mohan Gowda; Sanjay Sripar
- Source
- Annals of Cardiac Anaesthesia, Vol 19, Iss 3, Pp 389-391 (2016)
Annals of Cardiac Anaesthesia
- Subject
- Male
Catheterization, Central Venous
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
medicine.medical_treatment
Radiography
Myocardial Ischemia
Hemodialysis Catheter
Cardiac resynchronization therapy
Brief Communication
lcsh:RD78.3-87.3
Catheters, Indwelling
Renal Dialysis
Chronic kidney disease
medicine
Central Venous Catheters
Humans
cardiovascular diseases
Dialysis
Aged
Ultrasonography
business.industry
Hemodialysis catheter
General Medicine
Dialysis catheter
Surgery
Dilated ischemic cardiomyopathy
Venous access
surgical procedures, operative
Anesthesiology and Pain Medicine
Right Internal Jugular
lcsh:Anesthesiology
lcsh:RC666-701
cardiovascular system
Radiography, Thoracic
Jugular Veins
Cardiomyopathies
Cardiology and Cardiovascular Medicine
business
- Language
- ISSN
- 0971-9784
A 68 year old patient requiring urgent dialysis due to raising potassium was referred to our center. He had 3 indwelling catheters in his heart via right subclavian vein. His left subclavian and interngal jugular veins were thrombosed possibly due to earlier indwelling catheters. The dilemma was if right internal jugular venous route could be used for insertion of dialysis catheter. Under fluoroscopic guidance, right internal jugular vein was cannulated with the dialysis catheter without problems. This case is being presented to highlight the need for imaging both by ultrasound and radiography during the procedure.