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Use of the Brachiocephalic Vein for Placement of Tunneled Hemodialysis Catheters

Abigail Falk1

1 Present address: American Access Care, Medford, MA 02115.


Figure 1
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  		Fig. 1A —58-year-old man with long-standing end-stage renal disease and thrombosed left brachiocephalic arteriovenous fistula. Fluoroscopic image of needle position after sonographic guidance into brachiocephalic vein.

 

Figure 2
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  		Fig. 1B —58-year-old man with long-standing end-stage renal disease and thrombosed left brachiocephalic arteriovenous fistula. Clamp marking skin entry site. Needle with placement of 0.018 wire through it. Arrow shows tip of needle.

 

Figure 3
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  		Fig. 1C —58-year-old man with long-standing end-stage renal disease and thrombosed left brachiocephalic arteriovenous fistula. Final image of catheter placement.

 

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