title: Simple technique for long term central venous access in the patient with thrombocytopenic carcinoma.
abstract: A technique for the insertion of a central venous access device in the patient with thrombocytopenia is described. Using the Seldinger technique, a wire is placed into the internal jugular vein. A catheter tunneled from the anterior part of the chest is inserted through a peel-away sheath into the central venous system. The incision is then closed.
authors.affiliation: Department of Surgery, North Shore University Hospital-Cornell University Medical College, Manhasset.
authors.forename: J L
authors.initials: JL
authors.lastname: Ricci
authors.forename: D S
authors.initials: DS
authors.lastname: Reiner
mesh_terms: D002277:Carcinoma / Q000150:complications* / Q000188:drug therapy; D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D006801:Humans; D007601:Jugular Veins; D009333:Neck; D009369:Neoplasms / Q000150:complications* / Q000188:drug therapy; D013921:Thrombocytopenia / Q000150:complications*; D014683:Vena Cava, Superior