Reconstruction of dialysis access in an end-stage renal disease patient with severe peritonitis and thoracic deformity: A case report

Patients with end-stage renal disease (ESRD) often require long-term dialysis therapy, and the functional status of vascular access directly affects their quality of life and prognosis. This article reports a 39-year-old male ESRD patient with severe peritonitis, thoracic deformity, vascular calcification, and a history of multiple vascular access failures. Ultimately, a cuffed dialysis catheter was successfully placed via the left innominate vein under digital subtraction angiography (DSA) guidance. This case highlights the challenges of dialysis access reconstruction in the context of complex anatomy, severe infection, and coagulopathy, emphasizing the critical role of multidisciplinary collaboration and image-guided intervention.