Yaacob, Yazmin and Zakaria, Rozman and Mohammad, Zahiah and Md Ralib @ Md Raghib, Ahmad Razali and Muda, Ahmad Sobri
(2011)
The vanishing veins: difficult venous access in a patient requiring translumbar, transhepatic, and transcollateral central catheter insertion.
Malaysian Journal of Medical Sciences, 18 (4).
pp. 98-102.
ISSN 13-94-195X (P), 2180-4303 (O)
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.
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