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Transhepatic venous approach for balloon-assisted cervical collateral venous access
Eduardo P Eyheremendy1, Patricio Malizia, Sergio Sierre
1Department of Interventional Radiology, Hospital Alemán, Av. Pueyrredón 1640 (1118), Buenos Aires, Argentina.
Cardiovascular and Interventional Radiology
|February 19, 2011
Summary
Central venous catheter placement can be challenging due to venous occlusion. This case demonstrates successful central venous access via a cervical collateral vein and transhepatic route in a patient with complete venous occlusion.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Nephrology
Background:
- Central venous catheters are essential for various medical treatments.
- Multiple catheterizations can lead to severe venous occlusion, complicating access.
- Finding alternative venous access is crucial for patients with occluded central veins.
Observation:
- A 20-year-old patient presented with bilateral femoral, jugular, and subclavian vein occlusion.
- Previous central venous catheterizations were implicated in the extensive venous occlusion.
- Standard central venous access routes were not feasible.
Findings:
- A novel approach was employed for central venous catheter placement.
- Access was achieved through a cervical collateral vein using an angioplasty balloon.
- The catheter was advanced into the collateral vein via a transhepatic venous access route.
Implications:
- This case highlights a viable alternative for central venous access in complex venous occlusion scenarios.
- Successful catheterization through collateral and transhepatic routes expands treatment options.
- This technique may benefit patients with multiple failed central venous interventions.
