Colocación de catéter de hemodiálisis por vía paraesternal. Informe del primer caso en Cuba

introduction: the treatment of terminal chronic renal insufficiency by hemodialysis started in 1944 and since then the fight for the survival of these patients has led up to the development of multiple variants of vascular approach. objectives: to make known an alternative technique for cases where the conventional routes of venous approach are exhausted. case presentation: the approach technique was reviewed by different authors achieving good results due to the presence of a patient whose vascular tree was exhausted and also with a dialytic emergence, we decide to use the parasternal route (minimal thoracotomy) to approach the auricle and to place the hemodialysis catheter in the inferior vena cava thought it with satisfactory results. conclusions: the catheter's survival was of 15 months with good results. it is considered that this technique is a potential alternative in those patients without another possibility of treatment for its life.