<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702021000100029</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00157</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colocación de catéter de hemodiálisis transceldas de stent en paciente con agotamiento de acceso venoso]]></article-title>
<article-title xml:lang="en"><![CDATA[Trans-cells of stent hemodialysis catheter placement in patients with exhausted central venous access]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Duarte]]></surname>
<given-names><![CDATA[Santiago G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcántara]]></surname>
<given-names><![CDATA[Anna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Russo]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Fernando de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esperón Percovich]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Clínicas Dr. Manuel Quintela Centro Cardiovascular Universitario Cátedra de Angiología y Cirugía Vascular Periférica]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702021000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702021000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702021000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el agotamiento vascular es un problema sanitario significativo, sobre todo en pacientes renales que no sean aptos para otro tipo de terapia de sustitución renal (trasplante o diálisis peritoneal). Se describen distintas alternativas para estos pacientes, de acuerdo a las posibilidades.  Caso clínico: exponemos el caso de una mujer de 37 años, con enfermedad renal terminal desde hace más de treinta años por esclerohialinosis focal y segmentaria de variante colapsante y agotamiento del capital venoso central. Acude a nuestro centro con infección de Splithcath III® (MedComp), que se retira para colocar dos catéteres venosos simples de 6 Fr a nivel del tronco innominado vía yugular interna izquierda, al fallar en una navegación más central. Se destaca que la paciente presenta una vena yugular, vena subclavia y tronco innominado derechos ocluidos, con oclusión larga en el sitio donde se colocó un stent Palmaz® (Genesis Medical Group) en contexto de confección de fístula protésica, que cruza completamente la vena cava superior impidiendo el paso desde las venas izquierdas. Se optó por la implantación de un catéter de larga duración a través de las celdas del stent, llevada a cabo con éxito, con síndrome de vena cava superior de resolución posterior como complicación.  Discusión: lo más significativo de esta presentación es el implante a través de las celdas de un stent de catéteres de diálisis. Hasta ahora, encontramos descrita solo la colocación endoluminal y no esta técnica. Creemos que se trata de una alternativa válida en casos puntuales, como el analizado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: exhausted vascular access in chronic renal disease patients represents a significant issue for national health systems all around. It is fundamentally worse for those patients who have already surpassed or have no indication for other methods (renal transplant, peritoneal dilalysis). Different alternatives are assessed for each of these patients according to individual history.  Case report: we assess the case of a 37 year old female patient with end-stage renal disease secondary to focal esclerohialinosis. Said patient has exhausted vascular access, as a consult for infected Splithcath III® (MedComp) for retrieval. Two simple 6Fr standard venous catheters were placed instead through the left jugular vein, with their tips in the left innominate vein lumen for a fail in mor central navigation. Patient concomitantly presented right jugular, subclavian and innominate veins obstructed, treated with a Palmaz® (Genesis Medical Group) metallic stent prior to right arteriovenous graft confection. That stent was across the lumen of the superior vena Cava. We opted for the implantation of a long-lasting dialysis catheter through the cells of the mentioned stent, which was successful despite complicaciones (superior vena cava syndrome).  Discussion: the most relevant topic of this case is the trans-stent cell implant of dialysis catheters. Research finds evidence only of transluminal stent çcentral vein catheters implanted. We believe it constitutes a valid alternative in special cases such as the one being exposed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Agotamiento de accesos venosos centrales]]></kwd>
<kwd lng="es"><![CDATA[Catéter de hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[Catéteres trans-celda de stent]]></kwd>
<kwd lng="en"><![CDATA[Exhausted central venous access]]></kwd>
<kwd lng="en"><![CDATA[Hemodialysis catheter]]></kwd>
<kwd lng="en"><![CDATA[Tras-cell stent catheters]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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