case_images: PMC8721708_01
case_images: Fluoroscopic image showing an Amplatz wire in the right atrium.
case_images: 10.1177_11795476211066354-fig1.jpg
case_images: PMC8721708_01_10.1177_11795476211066354-fig1.jpg
case_images: fig1-11795476211066354
case_images: Using a transitional sheath, the wire was then exchanged for a 145 cm stiff 0.035 in wire (Amplatz, Boston Scientific, Natick, MA) (Figure 1).
case_images: Contrast injection confirming the catheter position with the tip of the catheter is within proximal right atrium. The hepatic veins are also filled with contrast.
case_images: 10.1177_11795476211066354-fig2.jpg
case_images: PMC8721708_01_10.1177_11795476211066354-fig2.jpg
case_images: fig2-11795476211066354
case_images: After creating the subcutaneous tunnel in the usual fashion, dilating the tract and inserting the peel away sheath, a 31 cm 14.5F Glidepath catheter (Bard, Tempe, AZ) was inserted in the traditional fashion and all sites were closed (Figure 2).
case_images: Post catheter placement image showing the final position of the catheter traversing the left hepatic vein.
case_images: 10.1177_11795476211066354-fig3.jpg
case_images: PMC8721708_01_10.1177_11795476211066354-fig3.jpg
case_images: fig3-11795476211066354
case_images: Injection of contrast confirmed the appropriate catheter tip positioning in the proximal right atrium (Figure 3).
case_images: Severe calciphylactic lesions involving extensive areas of the skin; the transhepatic dialysis catheter is in place.
case_images: 10.1177_11795476211066354-fig4.jpg
case_images: PMC8721708_01_10.1177_11795476211066354-fig4.jpg
case_images: fig4-11795476211066354
case_images: The catheter was used for dialysis for approximately 5 months without requiring any intervention (Figure 4).