ÖMER FARUK GÜLAŞTI, GÖKMEN AKKAYA
Journal of Updates in Cardiovascular Medicine - 2025;13(3):146-151
Hemodialysis access in small children with genetic syndromes and end-stage renal failure possesses various challenges. Traditional options may quickly support an upper sternal approach over thoracotomy to enhance exposure and facilitate effective catheter placement. Overall, eight attempts were made in two cases involving both techniques. Either thoracotomy or sternotomy has inherited advantages and disadvantages. However, the sternal approach allows wider exposure, more precise catheter placement, and easier future surgeries.
