Tags

Type your tag names separated by a space and hit enter

External jugular vein cross-over as a new technique for percutaneous central venous port access in case of left central venous occlusion.
J Vasc Access 2013 Oct-Dec; 14(4):388-91JV

Abstract

PURPOSE

To report the cross-over venous catheter technique in case of left-sided central venous (internal jugular, subclavian and innominate veins) occlusion and right-sided central vein patency.

METHODS

A 60-year-old right breast cancer patient presented with a local recurrence requiring chemotherapy. He presented with a left-sided catheter-related central venous occlusion and radiodermatitis of the right chest and neck. The nonsymptomatic side of insertion was defined as the patient's left side. Successful percutaneous left-to-right external jugular vein (EJV) cross-over access tips and tricks are reported. They include performing (a) the EJV access at the lower neck, (b) the 0.032 hydrophilic guidewire (GW) catheterization of the venous curves, (c) the GW anchor technique into the inferior vena cava, (d) the GW + Glidecath catheter stiffening technique and (e) the over-the-stiff wire implantable catheter push.

RESULTS

The cross-over technique was successful by using real-time ultrasonography/X-ray monitoring and interventional radiology tools (hydrophilic 0.032 in. and stiff 0.0035 in. GW and "J-shaped" Glidecath catheter) and the five-step technique.

CONCLUSIONS

In case of left innominate vein occlusion and necessity of left neck venous access, percutaneous EJV access should be attempted under real-time ultrasound/X-ray monitoring when other standard (subclavian venous port and internal jugular vein) routes are no longer available.

Authors+Show Affiliations

François Baclesse Cancer Research Institute, Caen Cedex - France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23817955

Citation

Marcy, Pierre Yves, et al. "External Jugular Vein Cross-over as a New Technique for Percutaneous Central Venous Port Access in Case of Left Central Venous Occlusion." The Journal of Vascular Access, vol. 14, no. 4, 2013, pp. 388-91.
Marcy PY, El Hajjam M, Lacout A, et al. External jugular vein cross-over as a new technique for percutaneous central venous port access in case of left central venous occlusion. J Vasc Access. 2013;14(4):388-91.
Marcy, P. Y., El Hajjam, M., Lacout, A., Nöel, C., Simon, J. J., & Figl, A. (2013). External jugular vein cross-over as a new technique for percutaneous central venous port access in case of left central venous occlusion. The Journal of Vascular Access, 14(4), pp. 388-91. doi:10.5301/jva.5000162.
Marcy PY, et al. External Jugular Vein Cross-over as a New Technique for Percutaneous Central Venous Port Access in Case of Left Central Venous Occlusion. J Vasc Access. 2013;14(4):388-91. PubMed PMID: 23817955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - External jugular vein cross-over as a new technique for percutaneous central venous port access in case of left central venous occlusion. AU - Marcy,Pierre Yves, AU - El Hajjam,Mostafa, AU - Lacout,Alexis, AU - Nöel,Caroline, AU - Simon,Jean Jacques, AU - Figl,Andrea, Y1 - 2013/07/01/ PY - 2013/04/22/accepted PY - 2013/7/3/entrez PY - 2013/7/3/pubmed PY - 2014/8/16/medline SP - 388 EP - 91 JF - The journal of vascular access JO - J Vasc Access VL - 14 IS - 4 N2 - PURPOSE: To report the cross-over venous catheter technique in case of left-sided central venous (internal jugular, subclavian and innominate veins) occlusion and right-sided central vein patency. METHODS: A 60-year-old right breast cancer patient presented with a local recurrence requiring chemotherapy. He presented with a left-sided catheter-related central venous occlusion and radiodermatitis of the right chest and neck. The nonsymptomatic side of insertion was defined as the patient's left side. Successful percutaneous left-to-right external jugular vein (EJV) cross-over access tips and tricks are reported. They include performing (a) the EJV access at the lower neck, (b) the 0.032 hydrophilic guidewire (GW) catheterization of the venous curves, (c) the GW anchor technique into the inferior vena cava, (d) the GW + Glidecath catheter stiffening technique and (e) the over-the-stiff wire implantable catheter push. RESULTS: The cross-over technique was successful by using real-time ultrasonography/X-ray monitoring and interventional radiology tools (hydrophilic 0.032 in. and stiff 0.0035 in. GW and "J-shaped" Glidecath catheter) and the five-step technique. CONCLUSIONS: In case of left innominate vein occlusion and necessity of left neck venous access, percutaneous EJV access should be attempted under real-time ultrasound/X-ray monitoring when other standard (subclavian venous port and internal jugular vein) routes are no longer available. SN - 1724-6032 UR - https://www.unboundmedicine.com/medline/citation/23817955/External_jugular_vein_cross_over_as_a_new_technique_for_percutaneous_central_venous_port_access_in_case_of_left_central_venous_occlusion_ L2 - http://journals.sagepub.com/doi/full/10.5301/jva.5000162?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -