title: [Chronic saphenous venous access: an interesting alternative in the case of vena cava superior syndrome].
abstract: An easy venous access improves the quality of life of patients who need prolonged intravenous therapy. In the case of vena cava superior syndrome the classic access in the jugular or subclavian vein can be difficult or even impossible. We report on seven implantations of Port-a-Cath in the inferior vena cava for patients presenting contra-indications to classic venous access to the vena cava superior (five cases of vena cava superior compression syndrome, one tracheostomy and one extended tumor of thoracic wall). We describe the operative technique and we analyze the indications, the results and the complications of this rarely used technique.
authors.affiliation: Service de Chirurgie, Hôpital de la Ville, La Chaux-de-Fonds.
authors.forename: C
authors.initials: C
authors.lastname: Fusetti
authors.forename: J C
authors.initials: JC
authors.lastname: Renggli
authors.forename: B
authors.initials: B
authors.lastname: Wellensiek
authors.forename: C
authors.initials: C
authors.lastname: Becciolini
authors.forename: M
authors.initials: M
authors.lastname: Merlini
mesh_terms: D000328:Adult; D000368:Aged; D002405:Catheterization, Central Venous; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D002408:Catheters, Indwelling; D000075202:Contraindications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D016748:Venous Cutdown