Mejia, Carlos Narvaez , Singh, Arshdeep , Villanego, Florentino , Naranjo, Javier , Lopez, Juan Manuel Cazorla , Martinez, Tomas Daroca , Alonso Mozo, Marta , Martin, Jose Manuel Amaro , Ceballos, Manuel , Mazuecos, Auxiliadora
No
Nephrology
Article
Científica
1.9
01/10/2024
001270529900001
Depletion of veins for dialysis access is a challenging life threatening situation for patients in need of haemodialysis. The utilisation of intracardiac catheter is a rare procedure with scarce reported experience. We describe the case of a 68-year-old male that contributes to the limited knowledge of performing a life-saving intracardiac catheter placement for emergency haemodialysis in a patient without immediate alternative renal replacement therapy available. We also retrospectively analyse the experience reported so far and summarise complications and outcomes. In our case, the patient was able to pursue haemodialysis after intracardiac catheter placement without any complications. Two weeks later, the patient successfully received a kidney transplant from a deceased donor and has a serum creatinine of 1.7 mg/dL after 2 years of follow-up. There are only four reported cases of kidney transplantation after the procedure, including our own. Intracardiac catheter is an emerging option that could be considered in certain patients as the last resort. Further investigation with regards to patient candidacy and procedure security are necessary.image We report a case of intracardiac catheter placement for haemodialysis in a patient who had exhausted all upper and lower extremity venous resources. This was a life-saving procedure that contributed to patient survival and later access to kidney transplant, a rare outcome. image
cardiac catheters; chronic kidney insufficiency; haemodialysis; kidney transplantation; vascular access devices