[Case report: Direct percutaneous placement of tunneled hemodialysis catheter into the inferior vena cava in a patient with dialysis access problem].

The paired hemodialysis catheters were inserted into the inferior vena cava (IVC) via translumbar approach in a 48-year-old man for lack of other suitable access. The catheter tip was thrombosed 2 months after the procedure. After local streptokinase infusion, control venogram showed resolution of the thrombus. Translumbar catheterization of the IVC is a safe and effective way in patients with thrombosed central venous access.