Central venous catheter placement in the inferior vena cava via the direct translumbar approach

2000 ◽  
Vol 10 (3) ◽  
pp. 450-454 ◽  
Author(s):  
B. Elduayen ◽  
A. Martínez-Cuesta ◽  
I. Vivas ◽  
C. Delgado ◽  
J. C. Pueyo ◽  
...  
Author(s):  
Mikin V. Patel ◽  
Steven Zangan

In patients requiring long-term chemotherapy, antibiotics, hemodialysis, or parenteral nutrition, central venous access is usually possible via catheter placement in the jugular, subclavian, or femoral veins. As these routes become complicated by thrombosis, stenosis, infection, or surgical intervention, the options for central venous catheter placement become limited, and direct puncture of the inferior vena cava (IVC) may be required. This chapter reviews the technique for placement of a catheter in the IVC via translumbar approach. Because direct access using anatomic landmarks can be challenging, initial puncture of the hepatic veins can be used to guide placement of an IVC catheter.


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