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NDT Advance Access originally published online on December 2, 2005
Nephrology Dialysis Transplantation 2006 21(3):796-798; doi:10.1093/ndt/gfi300
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


Case Report

Delayed presentation of unusual arterial injury during femoral vein catheterization for haemodialysis access

Aisling E. Courtney1, Peter J. Ingram2 and Ciaran C. Doherty1

1 Regional Nephrology Unit, Level 11, Belfast and 2 State Pathology Department, Institute of Forensic Medicine, Belfast, UK

Correspondence and offprint requests to: Aisling E. Courtney. Regional Nephrology Unit, Level 11, Belfast, UK. Email: aecourtney@doctors.org.uk

Keywords: fatal outcome; haemodialysis catheters complications; incorrect catheter placement

The first 10% of the full text of this article appears below.



   Introduction
 
The placement of central venous catheters (CVC) has well-recognized complications many of which tend to be more frequent in chronic dialysis patients. The reasons for this include the large calibre of catheters required and the higher number of catheter placements needed [2,3]. In view of the increased risk, various precautionary measures are recommended.

We report an unusual type of femoral artery injury that was caused by CVC placement despite adherence to recommended precautions. The case illustrates important learning points.



   Case
 
A 78-year-old lady of Chinese origin had been maintained on a regular 3 times weekly haemodialysis therapy for 3 years 8 months. She had presented with bilaterally small kidneys and end stage . . . [Full Text of this Article]



   Discussion
 

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