Vascular access for hemodialysis in patient with heart failure is a complex clinical issue, that requires combined technical skills from nephrological and cardiological field for its full understanding.
In these patients, in fact a native proximal vascular access can elicite a long series of effects on cardiac function, potentially degrading performance and patient outcomes. In such patients is therefore possible that the placement of a central venous catheter represents a solution less problematic.
This article presents a monocentric experience and some clinical examples, useful to investigate this peculiar condition.
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