Percutaneous inferior vena cava cannulation for long-term parenteral nutrition.
Thrombosis of the superior vena cava and its contributory veins from previous parenteral nutrition catheters precluded this approach for a new Hickman catheter in a patient with short-gut syndrome. Percutaneous puncture of the inferior vena cava with subcutaneous tunneling of the catheter to the anterior chest wall provided good access to the central venous circulation for long-term parenteral nutrition.
D002404:Catheterization; D006801:Humans; D008134:Long-Term Care; D008286:Malabsorption Syndromes / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total; D012778:Short Bowel Syndrome / Q000628:therapy*; D014682:Vena Cava, Inferior / Q000601:surgery*