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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- IVC:
-
Inferior vena cava
- NKF KDOQI:
-
The National Kidney Foundation Kidney Disease Outcomes Quality Initiative
- TPN:
-
Total parenteral nutrition
References
Cimchowski GE, Workey E, Rutherford WE, Sartain J, Blondin J, Harter H. Superiority of the internal jugular over the subclavian access for temporary dialysis. Nephron. 1990;54(2):154–61.
Pinchot JW. Unconventional venous access: percutaneous translumbar and transhepatic venous access for hemodialysis. In: Yevzlin AS, Asif A, Salman L, editors. Interventional nephrology: principles and practice. New York: Springer; 2014. p. 49–55.
Po CL, Koolpe HA, Allen S, Alvez LD, Raja RM. Transhepatic PermCath for hemodialysis. Am J Kidney Dis. 1994;24(4):590–1.
Stavropoulos SW, Pan JJ, Clark TW, Soulen MC, Schlansky-Goldberg RD, Itkin M, Trerotola SO. Percutaneous transhepatic venous access for hemodialysis. J Vasc Interv Radiol. 2003;14:1187–90.
Smith TP, Ryan JM, Reddan DN. Transhepatic catheter access for hemodialysis. Radiology. 2004;232:246–51.
Younes HK, Pettigrew CD, Anaya-Ayala JE, Soltes G, Saad WE, Davies MG, et al. Transhepatic hemodialysis catheters: functional outcome and comparison between early and late failure. J Vasc Interv Radiol. 2011;22:183–91.
Herscu G, Woo K, Weaver FA, Rowe VL. Use of unconventional dialysis access in patients with no viable alternative. Ann Vasc Surg. 2013;27(3):332–6.
Weeks SM. Unconventional venous access. Tech Vasc Interv Radiol. 2002;5(2):114–20.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-319-57500-1_32
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-57498-1
Online ISBN: 978-3-319-57500-1
eBook Packages: MedicineMedicine (R0)