Abstract
This chapter presents an overview of transhepatic catheter access, an acceptable but challenging vascular access technique that is often necessary in patients who have exhausted other endovascular options for central venous access. In patients with chronic total occlusion of internal jugular, subclavian, innominate, and femoral veins with coexistent occlusion of the infrahepatic inferior vena cava, transhepatic catheter placement is the last acceptable option for central venous access. Drawing on retrospective reviews of safety, efficacy, and complications implicit to the procedure, we present a simplified technique to successful transhepatic catheter placement.
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Abbreviations
- IVC:
-
Inferior vena cava
- NKF KDOQI:
-
The National Kidney Foundation Kidney Disease Outcomes Quality Initiative
- TPN:
-
Total parenteral nutrition
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Pinchot, J.W., Luty, C.M. (2017). Transhepatic Catheter Placement. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_32
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DOI: https://doi.org/10.1007/978-3-319-57500-1_32
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