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Pediatric Nephrology

Erschienen in:

01.09.2007 | Brief Report

Neurologic and ophthalmologic complications of vascular access in a hemodialysis patient

verfasst von: Roxana Cleper, Nitza Goldenberg-Cohen, Liora Kornreich, Irit Krause, Miriam Davidovits

Erschienen in: Pediatric Nephrology | Ausgabe 9/2007

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Abstract

Patients on long-term hemodialysis undergo multiple interventions, including insertion of central catheters and arteriovenous anastomoses for creation of vascular access. The need for high-flow vessels to maintain hemodialysis efficiency leads to wear on the central veins and consequent stenosis and occlusion. In addition to local signs of impaired venous drainage, abnormal venous flow patterns involving the upper chest, face, and central nervous system might develop. We describe the first pediatric case of devastating intracranial hypertension presenting with visual loss in the eye contralateral to a high-flow vascular access in a patient on long-term hemodialysis. The literature on this rare complication of hemodialysis is reviewed.

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Titel: Neurologic and ophthalmologic complications of vascular access in a hemodialysis patient
verfasst von: Roxana Cleper
Nitza Goldenberg-Cohen
Liora Kornreich
Irit Krause
Miriam Davidovits
Publikationsdatum: 01.09.2007
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 9/2007
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-007-0491-5

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