The use of arteriovenous fistula for cancer chemotherapy administration in hemodialysis patients.
Pedro Silva, Noemy Neves, Henrique Freixieiro et al.
✦ AI-curated · Sources linked
Case in brief
Two chronic hemodialysis patients received intravenous chemotherapy through a pre-existing mature arteriovenous fistula (AVF) using a peripheral catheter on non-dialysis days. The procedure was performed by experienced dialysis nursing staff, and no complications such as infection or access dysfunction were reported. Both patients maintained stable dialysis adequacy and AVF blood flow during follow-up.
Diagnostic / clinical pearl
Administering chemotherapy via a mature arteriovenous fistula in hemodialysis patients is technically feasible and safe, potentially preserving central venous access.
Why it matters
This approach may help maintain long-term vascular access integrity and reduce the need for invasive procedures in hemodialysis patients requiring chemotherapy.