The vanishing veins: difficult venous access in a patient requiring translumbar, transhepatic, and transcollateral central catheter insertion

Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumba...

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Bibliographic Details
Main Authors: Yaacob, Yazmin, Zakaria, Rozman, Mohammad, Zahiah, Md Ralib @ Md Raghib, Ahmad Razali, Muda, Ahmad Sobri
Format: Article
Language:English
Published: Universiti Sains Malaysia 2011
Subjects:
Online Access:http://irep.iium.edu.my/7502/
http://irep.iium.edu.my/7502/
http://irep.iium.edu.my/7502/1/Malaysian_Journal_of_Medical_Sciences_2011_Yaacob.pdf
Description
Summary:Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumbar, transhepatic, and transcollateral placement of central catheter in a woman with a difficult venous access problem who required lifelong parenteral nutrition secondary to short bowel syndrome. This case highlights the technical aspects of interventional radiology in vascular access management.