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Journal of Vascular Access 2001; 2: 125 - 128 |
Central venous access in pediatric patients |
F. Fusaro1, M.G. Scarpa1, R. Lo Piccolo1, G.F. Zanon1
1Department of Pediatric Surgery, University of Padua, Padua - Italy
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ABSTRACT
Occlusion of traditional sites for central venous cannulation is a challenging problem in patients that require a permanent central venous line for chronic administration of nutrients or drugs.
In rare cases, extensive central venous thrombosis of the superior and inferior vena cava may preclude catheterization, and uncommon routes should be used. We describe our approach for placement of chronic central venous lines in two pediatric patients with short bowel syndrome and extensive caval occlusion. (The Journal of Vascular Access 2001; 2: 125-127)
Key Words. Vena cava thrombosis, Vascular access, Total parenteral nutrition, Direct right atrial cannulation
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