title: Transhepatic venous approach for balloon-assisted cervical collateral venous access.
abstract: Central venous catheter placement is indicated in many situations, and an increasing number of patients require temporary and long-term central catheters. Frequently, patients who have undergone multiple central veins catheterizations develop complete and diffuse venous occlusion, and this constitutes a difficult-to-manage clinical problem. We report a case of a 20-year-old patient who was referred to our department for central venous line placement who manifested bilateral femoral, jugular, and subclavian veins occlusion. A central venous catheter was implanted through a cervical collateral vein, targeting on and puncturing an angioplasty balloon, and advanced into the collateral vein through a transhepatic venous access.
authors.affiliation: Department of Interventional Radiology, Hospital Alemán, Av. Pueyrredón 1640 (1118), Buenos Aires, Argentina.
authors.forename: Eduardo P
authors.initials: EP
authors.lastname: Eyheremendy
authors.forename: Patricio
authors.initials: P
authors.lastname: Malizia
authors.forename: Sergio
authors.initials: S
authors.lastname: Sierre
mesh_terms: D000800:Angioplasty, Balloon; D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D003287:Contrast Media; D003424:Crohn Disease / Q000188:drug therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D008099:Liver / Q000098:blood supply*; D009333:Neck; D011677:Punctures; D015641:Radiography, Interventional; D018084:Ultrasonography, Interventional; D055815:Young Adult
chemical_list: D003287:Contrast Media