title: [Case report: Direct percutaneous placement of tunneled hemodialysis catheter into the inferior vena cava in a patient with dialysis access problem].
abstract: The paired hemodialysis catheters were inserted into the inferior vena cava (IVC) via translumbar approach in a 48-year-old man for lack of other suitable access. The catheter tip was thrombosed 2 months after the procedure. After local streptokinase infusion, control venogram showed resolution of the thrombus. Translumbar catheterization of the IVC is a safe and effective way in patients with thrombosed central venous access.
authors.affiliation: Başkent Universitesi Tip Fakültesi, Radyoloji Bölümü, Ankara.
authors.forename: Ali
authors.initials: A
authors.lastname: Firat
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Aytekin
authors.forename: Ismail
authors.initials: I
authors.lastname: Kirbaş
authors.forename: Fatih
authors.initials: F
authors.lastname: Boyvat
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D008161:Lumbosacral Region / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D015642:Radiology, Interventional; D006435:Renal Dialysis; D013300:Streptokinase / Q000008:administration & dosage*; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase