Document Detail

Translumbar high inferior vena cava access placement in patients with thrombosed inferior vena cava filters.
MedLine Citation:
PMID:  14654493     Owner:  NLM     Status:  MEDLINE    
Venous access is a dire necessity in some patients such as those with end-stage renal disease or short gut syndrome. The right internal jugular vein is the preferred entry site for tunneled central venous catheters. Alternatively, the left internal jugular is considered next, with the external jugular and subclavian veins being considered later. Catheter-related venous stenosis approaches 40% in certain sites, resulting in loss of access sites. As sites are lost, insertion of functional long-term central venous catheters becomes challenging. Translumbar inferior vena cava (IVC) access created in two patients with limited venous access sites who had thrombosed IVCs containing IVC filters is described. Because of the higher IVC punctures in these cases, procedural planning with cross-sectional imaging is crucial to avoid puncturing the right renal artery as it passes posterior to the IVC.
Thomas B Kinney
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  14     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-05     Completed Date:  2004-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1563-8     Citation Subset:  IM    
Department of Radiology (8756), UCSD Medical Center, 200 W. Arbor Drive, San Diego, CA 92103, USA.
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MeSH Terms
Catheterization, Central Venous / adverse effects,  methods*
Catheters, Indwelling
Device Removal
Kidney Failure, Chronic / therapy
Lumbosacral Region
Middle Aged
Parenteral Nutrition / instrumentation
Renal Dialysis
Short Bowel Syndrome / therapy
Vena Cava Filters
Vena Cava, Inferior / radiography,  surgery*
Venous Thrombosis / etiology*

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

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