title: Azygos vein dialysis catheter placement using the translumbar approach in a patient with inferior vena cava occlusion.
abstract: We describe percutaneous, translumbar placement of a 14-Fr dialysis catheter into an ascending lumbar vein to achieve tip position in an enlarged azygos vein. The patient had thrombosis of all traditional vascular sites, as well as the inferior vena cava. This catheter functioned well for 7 months before fatal catheter-related infection developed.
authors.affiliation: Department of Internal Medicine, Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354, USA. raffatj@msn.com
authors.forename: Mohammad R
authors.initials: MR
authors.lastname: Jaber
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Thomson
authors.forename: Douglas C
authors.initials: DC
authors.lastname: Smith
mesh_terms: D001401:Azygos Vein; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000295:instrumentation*; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis / Q000628:therapy*