Document Detail

Direct right atrial insertion of a Hickman catheter in an 11-year-old girl.
MedLine Citation:
PMID:  21123194     Owner:  NLM     Status:  In-Data-Review    
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.
Sabine M Detering; Lisa Lassay; Jaime F Vazquez-Jimenez; Heike Schnoering
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Publication Detail:
Type:  Journal Article     Date:  2010-11-30
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  12     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  321-2     Citation Subset:  IM    
Department of Pediatric Cardiac Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany.
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