Colegio Argentino de Cardioangiólogos Intervencionistas Revista Argentina de Cardioangiología intervencionista 2250-7531 2313-9307 13 1 2022 03 31 Endovascular revascularization of central veins and subsequent cardiac catheterization for hemodialysis in a patient with exhaustion of conventional vascular accesses 0033 0034 EN Marcel Voos Budal Arins Cardioangiólogo Intervencionista UBA-CACI. Hemodinamia Integral, Centro de Cardiologia Intervencionista y Terapéutica Endovascular Periférica. Santiago del Estero Capital Antenor Álvarez Cardioangiólogo Intervencionista UBA-CACI. Hemodinamia Integral, Centro de Cardiologia Intervencionista y Terapéutica Endovascular Periférica. Santiago del Estero Capital, Santiago del Estero, Argentina Objective. Exhaustion of conventional vascular accesses (ECVA) in patients with end-stage renal disease is associated with higher morbidity and mortality rates. Consequently, maintenance of existing VA sites is of utmost importance for hemodialysis. We describe a technique used for the endovascular revascularization of central veins and subsequent catheter placement regarding hemodialysis in a patient with exhaustion of conventional vascular accesses. Methods. This is the case of a patient with exhausted vascular access and requirement for emergency dialysis. Endovascular revascularization of central veins and subsequent catheter placement for hemodialysis were successfully performed. Results. The patient still remains on hemodialysis at the follow-up without any complications being reported. Conclusion. Endovascular revascularization of central veins for hemodialysis is a known and accepted technique that can extend the use of VAs in complex patients over time. vascular access, hemodialysis, endovascular http://www.raci.com.ar/contenido/art.php?recordID=MjEyOA== http://recursos.meducatium.com.ar/contenido/articulos/28100330034_2128/pdf/28100330034.pdf