Document Detail

Transhepatic guidance of translumbar hemodialysis catheter placement in the setting of chronic infrarenal IVC occlusion.
MedLine Citation:
PMID:  19636614     Owner:  NLM     Status:  MEDLINE    
When patients with end-stage renal disease have exhausted both conventional and unconventional venous access options, creative solutions must be sought for hemodialysis catheter placement in order to ensure survival. This case describes a patient in urgent need of a dialysis catheter despite total occlusion of the jugular, subclavian, and femoral veins. Occlusion of the inferior vena cava (IVC) and right renal vein resulted in failed attempts at translumbar catheter placement. A gooseneck snare was temporarily advanced through the liver to the IVC for use as a fluoroscopic target to facilitate successful single-puncture, translumbar catheterization.
Jonathan M Lorenz; Sidney Regalado; Rakesh Navuluri; Steven Zangan; Thuong Vanha; Brian Funaki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-28
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  33     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  635-8     Citation Subset:  IM    
Department of Radiology, Section of Interventional Radiology, University of Chicago Hospitals, 5841 South Maryland Avenue, MC2026, Chicago, IL 60637, USA.
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MeSH Terms
Catheterization, Central Venous / methods*
Catheters, Indwelling*
Kidney Failure, Chronic / therapy*
Radiography, Interventional
Renal Dialysis / methods*
Ultrasonography, Interventional
Vena Cava, Inferior*

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