Ces radiol. 2022, 76(1):44-50 | DOI: 10.55095/CesRadiol2022/007

Inside-out access to central vein - the first experience with The Surfacer® systemCase report

Jan Kaván1, Pavel Michálek2, Tomáš Padrta1, Artem Leščinskij1, Jan Bruthans2, Jiří Křivánek1, Markéta Kratochvílová3, Jiří Vlasák4, Jan Malík5, Kateřina Posejpalová1, Andrea Burgetová1
1 Radiodiagnostická klinika 1. LF UK a VFN, Praha
2 Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a VFN, Praha
3 Dialyzačnístředisko Uherský Brod, B. Braun Avitum, s.r.o.
4 Dialyzační středisko Sokolov, Fresenius Medical Care - DS, s.r.o.
5 III. interní klinika 1. LF UK a VFN, Praha

The aim of this work is to present the first use of inside-out puncture of the central vein using Surfacer® system in the Czech Republic in two patients. This is a novel method that enables to access central venous system via occluded right brachiocephalic and internal jugular vein. The method is beneficial for patients requiring long-term central venous access. This method enables to introduce any type of central venous catheter or even pacemaker electrodes into the superior vena cava. Using this method the patients can avoid venous line through inguinal vessels and spare left-sided central veins if used in a timely manner in order to avoid possible superior vena cava syndrome.

Keywords: central venous access, haemodialysis catheter, inside-out puncture, Surfacer®
Grants and funding:

Práce byla podpořena z prostředků institucionální podpory MZ ČR-RVO-VFN64165.

Accepted: March 4, 2022; Published: March 1, 2022  Show citation

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Kaván J, Michálek P, Padrta T, Leščinskij A, Bruthans J, Křivánek J, et al.. Inside-out access to central vein - the first experience with The Surfacer® system. Ces radiol. 2022;76(1):44-50. doi: 10.55095/CesRadiol2022/007.
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