Premium
Use of an Intercostal Vein for Central Venous Access in Home Parenteral Nutrition: A Case Report
Author(s) -
Lammermeier David,
Steiger Ezra,
Cosgrove Delos,
Zelch Margaret
Publication year - 1986
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607186010006659
Subject(s) - medicine , parenteral nutrition , subclavian vein , catheter , venous access , surgery , superior vena cava , vein , rib cage , central venous catheter , cephalic vein , thrombosis , enteral administration , internal jugular vein , lower limbs venous ultrasonography , anesthesia , anatomy
A key factor in the success of a home parenteral nutrition program is prolonged and safe access to the central venous system. There are some patients, however, in whom the cephalic, external jugular, internal jugular, subclavian, and saphenous veins cannot be used. In these patients, cannulation of an intercostal vein can be useful for central venous access. Such a patient was recently presented to our medical care facility with bilateral subclavian vein thrombosis, left external iliac vein thrombosis, and superior vena cava obstruction above the level of the azygous vein. A Broviac catheter was successfully introduced via a right intercostal vein cutdown with the catheter tip lying in the azygous arch. This is the first known description in an adult patient in the use of an intercostal vein to gain access into the central venous system. ( Journal of Parenteral and Enteral Nutrition 10: 659–661, 1986)