title: Use of the gonadal vein in children with difficult central venous access: a novel technique.
abstract: 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.
authors.affiliation: Department of Paediatric Surgery, Alder Hey Children's Hospital and University of Liverpool, England.
authors.forename: K R
authors.initials: KR
authors.lastname: Shankar
authors.forename: A T
authors.initials: AT
authors.lastname: Anbu
authors.forename: P D
authors.initials: PD
authors.lastname: Losty
mesh_terms: 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*