Skip to main content
Log in

Transhepatic Venous Approach for Balloon-assisted Cervical Collateral Venous Access

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. 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

    PubMed  CAS  Google Scholar 

  3. Smith TP, Ryan JM, Reddan DN (2004) Transhepatic catheter access for hemodialysis. Radiology 232:246–251

    Article  PubMed  Google Scholar 

  4. Wallace MJ, Hovsepian DM, Balzer DT (1996) Transhepatic venous access for diagnostic and interventional cardiovascular procedures. J Vasc Interv Radiol 7:579–582

    Article  PubMed  CAS  Google Scholar 

  5. Farrell T, Lang EV, Barnhart W (1999) Sharp recanalization of central venous occlusions. J Vasc Interv Radiol 10:149–154

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Kaufman JA, Greenfield AJ, Fitzpatrick GF (1991) Transhepatic cannulation of the inferior vena cava. J Vasc Interv Radiol 2:331–334

    Article  PubMed  CAS  Google Scholar 

  8. 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

    PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. Lau TN, Kinney TB (2001) Direct US-guided puncture of innominate veins for central venous access. J Vasc Interv Radiol 12:641–645

    Article  PubMed  CAS  Google Scholar 

  11. Ebeid MR (2007) Transhepatic vascular access for diagnostic and interventional procedures: techniques, outcome, and complications. Catheter Cardiovasc Interv 69:594–606

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sergio Sierre.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-011-0125-y

Keywords

Navigation