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Management of Patients with Difficult Vascular Access Issues

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Given the high association of cardiac and renal disease, it is imperative that considerations for future vascular access are taken into consideration at the time of any procedure. In this chapter we discuss the high incidence of central stenosis associated with cardiac instrumentation such as central access for line placement and the need for placement of pacer wires. All of this type of instrumentation may make future vascular access problematic. We present several unique ways to gain access in this challenging patient population.

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Correspondence to Yolanda Becker .

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Su, B., Becker, Y. (2019). Management of Patients with Difficult Vascular Access Issues. In: Lonchyna, V. (eds) Difficult Decisions in Cardiothoracic Critical Care Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-04146-5_38

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  • DOI: https://doi.org/10.1007/978-3-030-04146-5_38

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04145-8

  • Online ISBN: 978-3-030-04146-5

  • eBook Packages: MedicineMedicine (R0)

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