Document Detail

Thoracoscopic-assisted placement of azygos vein central venous catheter in a child.
MedLine Citation:
PMID:  18294169     Owner:  NLM     Status:  MEDLINE    
Loss of central venous access in intestinal failure patients is a potentially fatal complication, and an indication for intestinal transplantation. Thrombosis of the superior vena cava (SVC) has historically been considered a contraindication to small bowel transplantation; however, unconventional central venous access can facilitate survival and eventual transplant procedure in patients with end-stage central venous access. We describe a technique for azygos vein central catheter insertion utilizing thoracoscopic guidance in a 14-year-old girl with thrombosis of the SVC and chronic idiopathic pseudo-obstruction syndrome awaiting multivisceral transplantation. The technique is simplified by utilizing carbon dioxide (CO(2)) insufflation of the thoracic cavity to collapse the lung instead of double-lumen endotracheal tube placement, and no postoperative chest tube drainage of the pleural space is required. Thoracoscopic-assisted central access can also be used in children requiring chronic hemodialysis with limited venous sites due to thrombosis or small size of vessels.
J E Sola; W R Thompson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons     Volume:  8     ISSN:  1600-6143     ISO Abbreviation:  Am. J. Transplant.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-25     Completed Date:  2008-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100968638     Medline TA:  Am J Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  715-8     Citation Subset:  IM    
Division of Pediatric Surgery, Holtz Children's Hospital, University of Miami/Jackson Memorial Medical Center, Miami, FL, USA.
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MeSH Terms
Azygos Vein / surgery*
Catheterization, Central Venous / methods*
Thoracoscopy / methods*
Vena Cava, Superior / surgery*
Venous Thrombosis / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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