Venous access across thrombosed veins

Safety IV catheter

Intravenous literature: Guntur Ramkumar, P., Chakraverty, S. and Zealley, I. (2009) Use of a Peripherally Inserted Central Catheter as a Conduit for Central Venous Access Across Thrombosed Great Veins. CardioVascular and Interventional Radiology. Oct 20.


This report describes a technique of inserting an implantable venous access port (portacath) through a thrombosed and occluded vein employing a pre-existing peripherally inserted central catheter (PICC) as the route of access. The PICC was used as a conduit for venous access in a way that has not been described previously in the literature. This procedure was performed in a young patient with cystic fibrosis in an effort to prevent the use of his virgin contralateral veins, which might be used in the future.


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