Work

Mini-sternotomy for direct right atrial dialysis catheter placement in a child with central venous occlusion

Year: 2025

Type: article

Abstract: We report the case of a pediatric patient with kidney failure and bilateral central venous occlusion, in whom conventional dialysis access was no longer feasible. Following multidisciplinary evaluation, a dialysis catheter was surgically inserted directly into the right atrium via a lower mini-sternotomy. A custom-made bovine pericardial conduit was used to facilitate extrathoracic tunnelling and protect the catheter. The procedure was technically successful, and the catheter remained functional postoperatively. This case highlights a viable salvage option for dialysis access in children with exhausted vascular access sites.

Source: Pediatric Nephrology

DOI: 10.1007/s00467-025-07104-6

Authors: Maria Nucera, Sibylle Tschumi, Matthias Siepe

Institutions: University of Bern, University Hospital of Bern

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,337