Department of Surgery and Transplantation Center, Liver Unit, Bambino Gesu Children's Hospital, Rome, Italy.
J Pediatr Surg. 2012 Dec;47(12):2353-6. doi: 10.1016/j.jpedsurg.2012.07.065.
We describe a child dependent on parenteral nutrition who developed loss of all conventional central venous catheter insertion sites coupled with very unusual collateralization due to extensive thrombosis of both the superior and inferior vena cava, including the azygos vein. We successfully achieved trans-hepatic anterior access to the infra-diaphragmatic vena cava. Since the success rate for this technique is low due to catheter dislodgement, the procedure was surgically assisted for increased safety and efficacy.
我们描述了一名依赖肠外营养的患儿，由于上腔静脉和下腔静脉（包括奇静脉）广泛血栓形成，导致所有常规中心静脉导管插入部位丧失，且出现非常罕见的侧支循环。我们成功地实现了经肝前入路进入膈肌以下下腔静脉。由于该技术的成功率因导管移位而较低，因此为了提高安全性和疗效，该手术辅助进行。
