Transiliac catheterization of the inferior vena cava for long-term venous access in children.
In infants and children requiring prolonged, multiple central venous (CV) catheterizations, the superior (SVC) and inferior vena cava may become thrombosed or stenotic, making CV access a difficult problem. Use of the iliac vein may be an acceptable alternative. We report a patient with thrombosis of the SVC in whom the external iliac vein was accessed through a retroperitoneal approach for placement of an implantable port. This technique is easy to perform, and there are no special materials or patient positioning required.
Ikeda
S
S
Department of Pediatric Surgery, Kumamoto University Medical School, Honjo 1-1-1 Kumamoto City, 860 Japan.
Sera
Y
Y
Ohshiro
H
H
Izaki
T
T
Uchino
S
S
Akizuki
M
M
Goto
H
H
D002405:Catheterization, Central Venous / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007084:Iliac Vein; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis