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Cardiovasc Intervent Radiol · Jun 2010
Case ReportsTranshepatic guidance of translumbar hemodialysis catheter placement in the setting of chronic infrarenal IVC occlusion.
- Jonathan M Lorenz, Sidney Regalado, Rakesh Navuluri, Steven Zangan, Thuong Vanha, and Brian Funaki.
- Department of Radiology, Section of Interventional Radiology, University of Chicago Hospitals, 5841 South Maryland Avenue, MC2026, Chicago, IL 60637, USA. jlorenz@radiology.bsd.uchicago.edu
- Cardiovasc Intervent Radiol. 2010 Jun 1; 33 (3): 635-8.
AbstractWhen patients with end-stage renal disease have exhausted both conventional and unconventional venous access options, creative solutions must be sought for hemodialysis catheter placement in order to ensure survival. This case describes a patient in urgent need of a dialysis catheter despite total occlusion of the jugular, subclavian, and femoral veins. Occlusion of the inferior vena cava (IVC) and right renal vein resulted in failed attempts at translumbar catheter placement. A gooseneck snare was temporarily advanced through the liver to the IVC for use as a fluoroscopic target to facilitate successful single-puncture, translumbar catheterization.
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