Surgically assisted trans-hepatic anterior approach for central venous catheter placement: Safety and efficacy

Research output: Contribution to journalArticle

Abstract

We describe a child dependent on parenteral nutrition who developed loss of all conventional central venous catheter insertion sites coupled with very unusual collateralization due to extensive thrombosis of both the superior and inferior vena cava, including the azygos vein. We successfully achieved trans-hepatic anterior access to the infra-diaphragmatic vena cava. Since the success rate for this technique is low due to catheter dislodgement, the procedure was surgically assisted for increased safety and efficacy.

Original languageEnglish
Pages (from-to)2353-2356
Number of pages4
JournalJournal of Pediatric Surgery
Volume47
Issue number12
DOIs
Publication statusPublished - Dec 2012

Keywords

  • Central venous catheter thrombosis
  • Children
  • Intestinal failure
  • Short bowel syndrome
  • Trans-hepatic access

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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