Direct transcaval placement of both a Greenfield filter and a Hickman catheter.
A 28-year-old woman with short-bowel syndrome caused by multiple operations for bleeding intestinal telangiectasias required a vena caval filter and long-term angioaccess. All major veins normally used for these procedures were obliterated and/or stenosed. A technique for direct transcaval placement of both a Greenfield filter and Hickman catheter is described.
Voeller
G R
GR
Department of Surgery, University of Tennessee, Memphis.
Frederick
R C
RC
Luther
R W
RW
D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D005260:Female; D005268:Femoral Vein; D005743:Gastrectomy; D006801:Humans; D007084:Iliac Vein; D012778:Short Bowel Syndrome / Q000209:etiology / Q000628:therapy; D013684:Telangiectasis / Q000601:surgery; D013927:Thrombosis / Q000209:etiology / Q000628:therapy; D014682:Vena Cava, Inferior