Transhepatic Guidance of Translumbar Hemodialysis Catheter Placement in the Setting of Chronic Infrarenal IVC Occlusion

Journal Article · Tue Jun 15 04:00:00 EDT 2010 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9660-1· OSTI ID:21429000

Regalado, Sidney; Navuluri, Rakesh; Zangan, Steven; Ha, Thuong Van; Funaki, Brian ^[1]

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1. University of Chicago Hospitals, Department of Radiology, Section of Interventional Radiology (United States)

When 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.

• OSTI ID: 21429000
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 33; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
DIALYSIS
DIGESTIVE SYSTEM
GLANDS
KIDNEYS
LIVER
MATHEMATICAL SOLUTIONS
ORGANS
SEPARATION PROCESSES
TUBES
VEINS