Use of a peripherally inserted central catheter as a conduit for central venous access across thrombosed great veins.
This report describes a technique of inserting an implantable venous access port (portacath) through a thrombosed and occluded vein employing a pre-existing peripherally inserted central catheter (PICC) as the route of access. The PICC was used as a conduit for venous access in a way that has not been described previously in the literature. This procedure was performed in a young patient with cystic fibrosis in an effort to prevent the use of his virgin contralateral veins, which might be used in the future.
Department of Clinical Radiology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK. prasad.guntur@nhs.net
Prasad Guntur
PG
Ramkumar
Sam
S
Chakraverty
Ian
I
Zealley
D000328:Adult; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D003550:Cystic Fibrosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D019877:Hydroxymethyl and Formyl Transferases / Q000008:administration & dosage; D007262:Infusions, Intravenous / Q000379:methods*; D008297:Male; D009097:Multienzyme Complexes / Q000008:administration & dosage; D009709:Nucleotide Deaminases / Q000008:administration & dosage; D011859:Radiography; D015642:Radiology, Interventional / Q000379:methods; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000628:therapy*
D009097:Multienzyme Complexes; C113120:inosine monophosphate synthase; D019877:Hydroxymethyl and Formyl Transferases; D009709:Nucleotide Deaminases