Nashwan  Ahmed  Alattab


ESRD patients suffered from burned out access due to long term Permacath inside the central veins besides puncturing of veins during admissions for Drugs and iv fluid injections and also thrombosed Av fistula  after multiple times usage or episodes of hypotension.

Material(s) and Method(s):

Case series


There is no single approach to patients who has burned out access or central vein occlusion in dialysis access


This study has shown that almost a third of the students rated their knowledge of IR as poor, which indicate an inadequate level of knowledge among medical students; however, this is developing in clinical students who also are more teManagement approach to dialysis patients with burned out access should be tailored according to patients condition and time of presentation.