Popis: |
William T Hinchliffe, Saeed Ahmed, Hatem MansyDepartment of Renal Medicine, Sunderland Royal Hospital, Sunderland, Tyne and Wear, UKDialysis access remains the "Achilles heel" of maintenance hemodialysis. When candidate vessels have been exhausted in pursuit of fashioning native vascular access, alternative vessels are used. With recurrent catheter deployment, venous stenoses develop and render candidate veins unsuitable for catheter reception. We present a neat and novel solution for clinical practice in dealing with unexpected cases. |