PMC8721708_01
Fluoroscopic image showing an Amplatz wire in the right atrium.
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Using a transitional sheath, the wire was then exchanged for a 145 cm stiff 0.035 in wire (Amplatz, Boston Scientific, Natick, MA) (Figure 1).
Contrast injection confirming the catheter position with the tip of the catheter is within proximal right atrium. The hepatic veins are also filled with contrast.
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After creating the subcutaneous tunnel in the usual fashion, dilating the tract and inserting the peel away sheath, a 31 cm 14.5F Glidepath catheter (Bard, Tempe, AZ) was inserted in the traditional fashion and all sites were closed (Figure 2).
Post catheter placement image showing the final position of the catheter traversing the left hepatic vein.
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Injection of contrast confirmed the appropriate catheter tip positioning in the proximal right atrium (Figure 3).
Severe calciphylactic lesions involving extensive areas of the skin; the transhepatic dialysis catheter is in place.
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The catheter was used for dialysis for approximately 5 months without requiring any intervention (Figure 4).