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Life-saving vascular access after combined liver and kidney transplantation: A challenging access to the right atrium.
Grimaldi, Chiara; Crocoli, Alessandro; Angelico, Roberta; Saffioti, Maria Cristina; Nappo, Simona Gerocarni; Chiusolo, Fabrizio; Tortora, Francesca; Picardo, Sergio Giuseppe; Dello Strologo, Luca; Basso, Maria Sole; Monti, Lidia; Guccione, Paolo; Rollo, Massimo; Spada, Marco.
Afiliação
  • Grimaldi C; 1 Department of Pediatric Surgery and Transplantation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Crocoli A; 2 Department of Pediatric Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Angelico R; 1 Department of Pediatric Surgery and Transplantation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Saffioti MC; 1 Department of Pediatric Surgery and Transplantation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Nappo SG; 3 Pediatric Urology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Chiusolo F; 4 Department of Anesthesia and Critical Care, ARCO, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Tortora F; 4 Department of Anesthesia and Critical Care, ARCO, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Picardo SG; 4 Department of Anesthesia and Critical Care, ARCO, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Dello Strologo L; 5 Transplant Clinic, Department of Pediatric Specialties, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Basso MS; 6 Unit of Gastroenterology, Hepatology and Nutrition, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Monti L; 7 Radiology Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Guccione P; 8 Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Rollo M; 7 Radiology Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Spada M; 1 Department of Pediatric Surgery and Transplantation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
J Vasc Access ; 20(4): 442-445, 2019 Jul.
Article em En | MEDLINE | ID: mdl-30608014
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Veia Cava Superior / Cateterismo Venoso Central / Diálise Renal / Transplante de Rim / Transplante de Fígado / Angioplastia com Balão / Doenças Renais Císticas / Função Retardada do Enxerto / Calcificação Vascular / Nefropatias Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Child / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Veia Cava Superior / Cateterismo Venoso Central / Diálise Renal / Transplante de Rim / Transplante de Fígado / Angioplastia com Balão / Doenças Renais Císticas / Função Retardada do Enxerto / Calcificação Vascular / Nefropatias Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Child / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article