Use of the gonadal vein in children with difficult central venous access: a novel technique.
In children who require multiple central venous catheterization, the commonly used veins can become thrombosed making central venous access a challenging problem. The authors report on a patient with a rare metabolic disorder who had extensive thrombosis of the superior vena cava and iliofemoral veins, in whom the right ovarian vein was cannulated using a retroperitoneal approach for the placement of a SILASTIC((R)) (Dow Corning, Midland, MI) catheter with an implantable port. This is a useful and reliable technique in children who have difficult venous access.
Shankar
K R
KR
Department of Paediatric Surgery, Alder Hey Children's Hospital and University of Liverpool, England.
Anbu
A T
AT
Losty
P D
PD
D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008661:Metabolism, Inborn Errors / Q000628:therapy; D010053:Ovary / Q000098:blood supply*