Transhepatic vascular access in pediatric cardiology patients with occlusion of traditional central venous sites

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Published on: January 13, 2026

W M Book1, A A Raviele, R N Vincent

  • 1Department of Internal Medicine, Division of Cardiology, Emory University, 1364 Clifton Road N.E., Suite F508, Atlanta, GA 30322, USA. Wendy_Book@Emory.org

The Journal of Invasive Cardiology
|April 4, 2000
PubMed

Insights

Transhepatic access provides a viable alternative for central venous access in pediatric cardiology patients with complex congenital heart disease when traditional sites are unavailable. This approach facilitates essential procedures like cardiac catheterization and biopsies.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Central venous access can be challenging in pediatric patients with complex congenital heart disease.
  • Occlusion of traditional central venous sites necessitates alternative access methods.

Purpose of the Study:

  • To evaluate the utility and safety of percutaneous transhepatic central venous access in pediatric cardiology patients.
  • To assess the feasibility of transhepatic access for procedures like central venous line placement, cardiac catheterization, and endomyocardial biopsy.

Main Methods:

  • Retrospective review of 10 consecutive pediatric cardiology patients.
  • Utilized percutaneous transhepatic access for central venous access.
  • Procedures included central venous line placement, cardiac catheterization, and endomyocardial biopsy.

Main Results:

  • Successfully established central venous access via the transhepatic route in all 10 patients.
  • Transhepatic access was utilized for multiple procedures in 5 patients.
  • No major complications were reported related to the transhepatic access.

Conclusions:

  • Percutaneous transhepatic access is a safe and effective alternative for central venous access in pediatric patients with complex congenital heart disease.
  • This approach expands procedural options when traditional venous sites are compromised.

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