Mohammed AlblooshiDlshad Mahmud AbdulrahmanVipul Gupta2026-03-222026-03-22202510.53778/pjkd93309https://doi.org/10.53778/pjkd93309https://andeanlibrary.org/handle/123456789/77964Pinch-off effect is reported as potential complications of subclavian venous access in 14 years old male child with hemodialysis catheter. Patient presented with features of luminal obstruction 8 months after insertion of hemodialysis catheter. X ray chest confirmed diagnosis of Pinch off syndrome. Replacement of Hemodialysis catheter through supraclavicular subclavian approach resulted in achieving safe and functional venous access for last 12 months.enMedicineHemodialysisSurgeryHemodialysis CatheterComplicationCatheterSubclavian veinDialysis catheterCentral venous catheterVenous accessarticle