Direct peripheral venopuncture: Another new choice of temporary vascular access

Background. Femoral, subclavian, and internal jugular veins access have bee n widely used for temporary vascular access for hemodialysis, but their use has been associated with a significant complication rate. We report in thr ee selected hemodialysis patients with the procedure of direct peripheral v enopuncture as temporary vascular access to reduce complications. Methods. We have demonstrated hemodialysis via direct puncture of periphera l veins of the antecubital fossa (cephalic vein in the process of arterial inflow to dialyzer and venous outflow from dialyzer to basilic vein) as tem porary vascular access for these patients. Results. Renal function of case 1 and case 2 progress to normal status afte r several sessions of dialytic therapy as well as quit hemodialysis, and ca se 3 successfully shifts to peritoneal dialysis following four sessions of dialytic therapy. Conclusions. We recommend this short-term access contribute a important add itional new choice in selected patients with acute, reversible renal failur e, obstructive uropathy, initiation of peritoneal dialysis, patients on per itoneal dialysis with peritonitis, or under plasmapheresis therapy.