title: The vanishing veins: difficult venous access in a patient requiring translumbar, transhepatic, and transcollateral central catheter insertion.
abstract: Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumbar, transhepatic, and transcollateral placement of central catheter in a woman with a difficult venous access problem who required lifelong parenteral nutrition secondary to short bowel syndrome. This case highlights the technical aspects of interventional radiology in vascular access management.
authors.affiliation: Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: Yazmin
authors.initials: Y
authors.lastname: Yaacob
authors.forename: Rozman
authors.initials: R
authors.lastname: Zakaria
authors.forename: Zahiah
authors.initials: Z
authors.lastname: Mohammad
authors.forename: Ahmad Razali Md
authors.initials: AR
authors.lastname: Ralib
authors.forename: Ahmad Sobri
authors.initials: AS
authors.lastname: Muda