Reconstruction of dialysis access in an end-stage renal disease patient with severe peritonitis and thoracic deformity: A case report

Reconstruction of dialysis access in an end-stage renal disease patient with severe peritonitis and thoracic deformity: A case report | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Case Report Reconstruction of dialysis access in an end-stage renal disease patient with severe peritonitis and thoracic deformity: A case report FeiFei Zhou, ChunHua Gao, WenBo Qiao, YaYu Ren, JunQing Chu This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-9037557/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Patients with end-stage renal disease (ESRD) often require long-term dialysis therapy, and the functional status of vascular access directly affects their quality of life and prognosis. This article reports a 39-year-old male ESRD patient with severe peritonitis, thoracic deformity, vascular calcification, and a history of multiple vascular access failures. Ultimately, a cuffed dialysis catheter was successfully placed via the left innominate vein under digital subtraction angiography (DSA) guidance. This case highlights the challenges of dialysis access reconstruction in the context of complex anatomy, severe infection, and coagulopathy, emphasizing the critical role of multidisciplinary collaboration and image-guided intervention. Severe peritonitis Thoracic deformity End-stage renal disease Dialysis access Vascular calcification Digital subtraction angiography Full Text Additional Declarations No competing interests reported. Supplementary Files CAREChecklist.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-9037557","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Case Report","associatedPublications":[],"authors":[{"id":616843221,"identity":"de6e907d-0f57-42f1-b35c-8f52a6353167","order_by":0,"name":"FeiFei Zhou","email":"","orcid":"","institution":"Zhejiang University","correspondingAuthor":false,"prefix":"","firstName":"FeiFei","middleName":"","lastName":"Zhou","suffix":""},{"id":616843222,"identity":"f338ce51-7e6c-401a-a338-781bf5a4aaea","order_by":1,"name":"ChunHua Gao","email":"","orcid":"","institution":"Zhejiang 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