{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:05:31Z","timestamp":1777935931854,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T00:00:00Z","timestamp":1546560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Exhaustion of vascular accesses is a major complication in patients undergoing hemodialysis, especially in pediatric setting. We report the case of a boy treated for loss of hemodialysis access after a combined liver\u2013kidney transplantation and transient renal dysfunction. An interventional dilatation of calcific superior vena cava allowed to insert a stable central venous line for dialysis until full graft recovery. Careful management of central lines allows to spare the main vessels and reduces the need for unusual accesses.<\/jats:p>","DOI":"10.1177\/1129729818820516","type":"journal-article","created":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T06:56:51Z","timestamp":1546585011000},"page":"442-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Life-saving vascular access after combined liver and kidney transplantation: A challenging access to the right atrium"],"prefix":"10.1177","volume":"20","author":[{"given":"Chiara","family":"Grimaldi","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Crocoli","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Bambino Ges\u00f9 Children\u2019s 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