Transhepatic catheterization using ultrasound-guided access.

Journal Article (Journal Article)

The efficacy and safety of ultrasound guidance to obtain transhepatic access for cardiac catheterization were investigated in this study. The transhepatic route for access to perform cardiac catheterization has become an acceptable alternative when conventional routes of access have failed. However, the use of ultrasound to guide transhepatic access has not been reported in the literature. We performed a retrospective chart review. Patient characteristics, indications for catheterization, procedures performed, and complications were recorded. All patients who underwent transhepatic cardiac catheterization at Duke University Medical Center were included in this study. Eight patients underwent 12 catheterizations. The median age was 5.3 years (range, 9 months to 13 years) and median weight 18.7 kg (range, 7.1-44.8 kg). Seven catheterizations were diagnostic and 5 were interventional. There were no complications. Transhepatic access with ultrasound guidance is a safe and effective option for obtaining venous access for cardiac catheterization.

Full Text

Duke Authors

Cited Authors

  • Johnston, TA; Donnelly, LF; Frush, DP; O'Laughlin, MP

Published Date

  • July 2003

Published In

Volume / Issue

  • 24 / 4

Start / End Page

  • 393 - 396

PubMed ID

  • 12545325

International Standard Serial Number (ISSN)

  • 0172-0643

Digital Object Identifier (DOI)

  • 10.1007/s00246-002-1400-0


  • eng

Conference Location

  • United States