Semin intervent Radiol 2006; 23(3): 279-286
DOI: 10.1055/s-2006-948767
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Unconventional Venous Access Techniques

Jonathan M. Lorenz1
  • 1Department of Radiology, Section of Interventional Radiology, University of Chicago Hospitals, Chicago, Illinois
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Publication History

Publication Date:
16 August 2006 (online)

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ABSTRACT

For patients dependent on permanent venous catheters for survival, the progressive loss of venous access sites should prompt a systematic approach to alternative sites and techniques to maximize patient survival and minimize complications. Interventional radiologists should be familiar with the appropriate use of both conventional and unconventional types of venous access and their associated risks. This article discusses the use of venous access sites available as alternatives to occluded internal jugular veins, including the subclavian veins, the femoral veins, the inferior vena cava, and the hepatic veins. In addition, unconventional techniques for venous access are reviewed, including recannulization of occluded neck and chest veins, catheterization of small thyrocervical veins, and sharp recannulization of occluded central veins.

REFERENCES

Jonathan M LorenzM.D. 

Associate Professor, Department of Radiology, University of Chicago Hospitals

5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637