{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:00:13Z","timestamp":1774260013944,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Nephrol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report the case of a pediatric patient with kidney failure and bilateral central venous occlusion, in whom conventional dialysis access was no longer feasible. Following multidisciplinary evaluation, a dialysis catheter was surgically inserted directly into the right atrium via a lower mini-sternotomy. A custom-made bovine pericardial conduit was used to facilitate extrathoracic tunnelling and protect the catheter. The procedure was technically successful, and the catheter remained functional postoperatively. This case highlights a viable salvage option for dialysis access in children with exhausted vascular access sites.<\/jats:p>","DOI":"10.1007\/s00467-025-07104-6","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T13:16:31Z","timestamp":1765286191000},"page":"1347-1350","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mini-sternotomy for direct right atrial dialysis catheter placement in a child with central venous occlusion"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5941-2232","authenticated-orcid":false,"given":"Maria","family":"Nucera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sibylle","family":"Tschumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"7104_CR1","doi-asserted-by":"publisher","first-page":"1739","DOI":"10.1007\/s00467-020-04746-6","volume":"36","author":"E Preka","year":"2021","unstructured":"Preka E, Shroff R, Stronach L, Calder F, Stefanidis CJ (2021) Update on the creation and maintenance of arteriovenous fistulas for haemodialysis in children. Pediatr Nephrol 36:1739\u20131749. https:\/\/doi.org\/10.1007\/s00467-020-04746-6","journal-title":"Pediatr Nephrol"},{"key":"7104_CR2","doi-asserted-by":"publisher","first-page":"1746","DOI":"10.1093\/ndt\/gfz011","volume":"34","author":"R Shroff","year":"2019","unstructured":"Shroff R, Calder F, Bakkalo\u011flu S, Nagler EV, Stuart S, Stronach L, Schmitt CP, Heckert KH, Bourquelot P, Wagner AM, Paglialonga F, Mitra S, Stefanidis CJ, European Society for Paediatric Nephrology Dialysis Working Group (2019) Vascular access in children requiring maintenance haemodialysis: a consensus document by the European Society for Paediatric Nephrology Dialysis Working Group. Nephrol Dial Transplant 34:1746\u20131765. https:\/\/doi.org\/10.1093\/ndt\/gfz011","journal-title":"Nephrol Dial Transplant"},{"issue":"4 Suppl 2","key":"7104_CR3","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1053\/j.ajkd.2019.12.001","volume":"75","author":"CE Lok","year":"2020","unstructured":"Lok CE, Huber TS, Lee T, Shenoy S, Yevzlin AS, Abreo K, Allon M, Asif A, Astor BC, Glickman MH, Graham J, Moist LM, Rajan DK, Roberts C, Vachharajani TJ, Valentini RP, National Kidney Foundation (2020) KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis 75(4 Suppl 2):S1\u2013S164. https:\/\/doi.org\/10.1053\/j.ajkd.2019.12.001","journal-title":"Am J Kidney Dis"},{"key":"7104_CR4","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1177\/1129729819841153","volume":"21","author":"N Inston","year":"2020","unstructured":"Inston N, Khawaja A, Mistry H, Jones R, Valenti D (2020) Options for end stage vascular access: translumbar catheter, arterial-arterial access or right atrial graft? J Vasc Access 21:7\u201318. https:\/\/doi.org\/10.1177\/1129729819841153","journal-title":"J Vasc Access"},{"key":"7104_CR5","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1510\/icvts.2010.252262","volume":"12","author":"SM Datering","year":"2011","unstructured":"Datering SM, Lassay L, Vazquez-Jimenez JF, Schnoering H (2011) Direct right atrial insertion of a Hickman catheter in an 11-year-old girl. Interact Cardiovasc Thorac Surg 12:321\u2013322. https:\/\/doi.org\/10.1510\/icvts.2010.252262","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"7104_CR6","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1097\/00000441-200502000-00010","volume":"329","author":"D Negoi","year":"2005","unstructured":"Negoi D, Schmaltz R, Misra M (2005) Successful use of a right atrial catheter for hemodialysis. Am J Med Sci 329:104\u2013106. https:\/\/doi.org\/10.1097\/00000441-200502000-00010","journal-title":"Am J Med Sci"},{"key":"7104_CR7","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1016\/j.ekir.2020.04.006","volume":"5","author":"C Philipponnet","year":"2020","unstructured":"Philipponnet C, Aniort J, Pereira B, Azarnouch K, Hadj-Abdelkader M, Chabrot P, Heng AE, Souweine B (2020) Systematic review of atrial vascular access for dialysis catheter. Kidney Int Rep 5:1000\u20131006. https:\/\/doi.org\/10.1016\/j.ekir.2020.04.006","journal-title":"Kidney Int Rep"}],"container-title":["Pediatric Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00467-025-07104-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00467-025-07104-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00467-025-07104-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T09:03:41Z","timestamp":1774256621000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00467-025-07104-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,9]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["7104"],"URL":"https:\/\/doi.org\/10.1007\/s00467-025-07104-6","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-7333614\/v1","asserted-by":"object"}]},"ISSN":["0931-041X","1432-198X"],"issn-type":[{"value":"0931-041X","type":"print"},{"value":"1432-198X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,9]]},"assertion":[{"value":"9 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 November 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 November 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient\u2019s legal guardians provided informed consent for the publication of clinical data and photographs.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}