| Direct right atrial insertion of a Hickman catheter in an 11-year-old girl. | |
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MedLine Citation:
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PMID: 21123194 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Central venous lines are of particular importance in seriously ill children that require parenteral nutrition, chemotherapy, or other medications. The jugular or subclavian veins are ordinarily used for primary access. Alternatives include the femoral veins, the intercostal veins, and transhepatic approaches. If the use of these standard sites of placement is made impossible, due, for example, to chronic thrombosis, an alternative approach has to be found. The following report presents the case of an 11-year-old girl with short-bowel syndrome and a desperate need for parenteral nutrition. Over the course of her treatment, she developed chronic thrombosis of the jugular, subclavian, and femoral veins, as well as thrombosis of the inferior vena cava. As an alternative route for central venous access, we describe a successful direct placement of a tunnelled catheter into the right atrium via a right anterolateral thoracotomy. |
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Authors:
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Sabine M Detering; Lisa Lassay; Jaime F Vazquez-Jimenez; Heike Schnoering |
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Publication Detail:
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Type: Journal Article Date: 2010-11-30 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 12 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 321-2 Citation Subset: IM |
Affiliation:
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Department of Pediatric Cardiac Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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