Chemotherapy with subsequent autologous haematopoietic cells transfer is efficient therapeutic modality for some types of malignant blood disorders. Chemotherapy requires double-lumen central venous dialysis catheter which has to be inserted in critically ill patients with pancytopenia, anemia and severe blood coagulation disorder. The case report shows the haemothorax made by inserted dialysis catheter in patient with PNET kidney. It was caused by repeated punction of the subclavian vein wall and the severe coagulation disorder. The resuscitation of circulation followed and lasted several hours including massive volume and inotropic therapy. It was followed by death of the patient. Because inserting of these catheters is unavoidable in this stage of correct therapy in patients with malignity, we accepted strict rules in this area. It means the exact indication of autologous haematopoietic cells transfer which enables the choice of catheter type and inserting place for the anaesthesiologist. The availability of the surgeon and intensive care unit is essential for possible complications solving.

        Key words: central venous dialysis catheter – complications of central venous catheter inserting – autologous haematopoietic cells transfer – PNET kidneys in children