Mini-sternotomy for direct right atrial dialysis catheter placement in a child with central venous occlusion.

Maria Nucera, Sibylle Tschumi, Matthias Siepe

Abstract readCase Reports

In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maria NuceraDepartment of Cardiac Surgery, Centre for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, Switzerland. maria.nucera@insel.ch.ORCID http://orcid.org/0000-0002-5941-2232

Sibylle TschumiDepartment of Pediatrics, Pediatric Nephrology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Matthias SiepeDepartment of Cardiac Surgery, Centre for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Catheterization, Central VenousKidney Failure, ChronicRenal DialysisSternotomyCatheters, IndwellingChildFemaleHeart AtriaHumansMaleTreatment OutcomeCentral venous occlusionPediatric hemodialysisRight atrial catheterVascular access

Identifiers

PMID41364179

DOI10.1007/s00467-025-07104-6

PMCPMC13009132

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.