Abstract
Central venous catheter placement is indicated in many situations, and an increasing number of patients require temporary and long-term central catheters. Frequently, patients who have undergone multiple central veins catheterizations develop complete and diffuse venous occlusion, and this constitutes a difficult-to-manage clinical problem. We report a case of a 20-year-old patient who was referred to our department for central venous line placement who manifested bilateral femoral, jugular, and subclavian veins occlusion. A central venous catheter was implanted through a cervical collateral vein, targeting on and puncturing an angioplasty balloon, and advanced into the collateral vein through a transhepatic venous access.
References
Ferral H, Bjarnason H, Wholey M et al (1996) Recanalization of occluded veins to provide access for central catheter placement. J Vasc Interv Radiol 7:681–685
Funaki B, Zaleski GX, Leef JA et al (2001) Radiologic placement of tunneled hemodialysis catheters in occluded neck, chest, or small thyrocervical collateral veins in central venous occlusion. Radiology 218:471–476
Smith TP, Ryan JM, Reddan DN (2004) Transhepatic catheter access for hemodialysis. Radiology 232:246–251
Wallace MJ, Hovsepian DM, Balzer DT (1996) Transhepatic venous access for diagnostic and interventional cardiovascular procedures. J Vasc Interv Radiol 7:579–582
Farrell T, Lang EV, Barnhart W (1999) Sharp recanalization of central venous occlusions. J Vasc Interv Radiol 10:149–154
Azizkhan RG, Taylor LA, Jaques PF et al (1992) Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children. J Pediatr Surg 27:165–169
Kaufman JA, Greenfield AJ, Fitzpatrick GF (1991) Transhepatic cannulation of the inferior vena cava. J Vasc Interv Radiol 2:331–334
Nazarian GK, Myers TV, Bjarnason H et al (1995) Applications of the Amplatz snare device during interventional radiologic procedures. AJR Am J Roentgenol 165:673–678
Chen MC, Chang SC, Weng MJ et al (2006) Use of angioplasty balloon-assisted Seldinger technique for complicated small vessel catheterization. J Vasc Interv Radiol 17:2011–2013
Lau TN, Kinney TB (2001) Direct US-guided puncture of innominate veins for central venous access. J Vasc Interv Radiol 12:641–645
Ebeid MR (2007) Transhepatic vascular access for diagnostic and interventional procedures: techniques, outcome, and complications. Catheter Cardiovasc Interv 69:594–606
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Eyheremendy, E.P., Malizia, P. & Sierre, S. Transhepatic Venous Approach for Balloon-assisted Cervical Collateral Venous Access. Cardiovasc Intervent Radiol 34, 1312–1315 (2011). https://doi.org/10.1007/s00270-011-0125-y
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DOI: https://doi.org/10.1007/s00270-011-0125-y