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Transhepatic vascular access for diagnostic and interventional procedures: Techniques, outcome, and complications
Author(s) -
Ebeid Makram R.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21012
Subject(s) - medicine , cardiac catheterization , femoral vein , vascular access , interventional cardiology , surgery , superior vena cava , occlusion , radiology , hemodialysis
Early or multiple cardiac catheterizations may result in occlusion of the femoral veins prohibiting their use. The internal jugular or sub‐clavian approach may be an appropriate alternative. However, these approaches may not be suitable in patients with surgical interruption of the superior vena cava. In other patients, they may not allow easy access to certain areas of the heart. The transhepatic approach is an important alternative route for performing cardiac catheterization and interventions. Depending on the planned procedure, it may be the preferred route to perform the cardiac catheterization even in the presence of patent femoral veins. The indications, technical details and potential complications of this approach are discussed. © 2006 Wiley‐Liss, Inc.