{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:40:56Z","timestamp":1740980456730,"version":"3.38.0"},"reference-count":8,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T00:00:00Z","timestamp":1479772800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Maintaining vascular access by means of radiological intervention has become the mainstay of management of patients with central venous stenoses and occlusions (CVO), which can be challenging. We present a case of balloon-assisted percutaneous puncture of an occluded left subclavian vein, through a thrombosed arteriovenous graft, for a tunneled dialysis catheter insertion. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A thrombosed left arm arteriovenous graft was accessed, and the occluded left subclavian vein was traversed with 0.018 platform. An 8 mm 0.018 low platform balloon was inflated in the left subclavian vein as a target for percutaneous puncture to gain direct access into the occluded segment of the vein. This access was then used for routine placement of a tunneled left subclavian dialysis catheter. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Successful placement of a tunneled dialysis catheter into an occluded left subclavian vein using a balloon- assisted puncture technique, through a thrombosed left-arm arteriovenous graft. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Thrombosed arteriovenous grafts are potential access sites into the central veins. Balloon-assisted punctures allow vascular access salvage into otherwise occluded segments of a central vein; in our case, it allowed access into an occluded left subclavian vein for dialysis catheter placement. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000625","type":"journal-article","created":{"date-parts":[[2016,11,25]],"date-time":"2016-11-25T17:27:36Z","timestamp":1480094856000},"page":"173-176","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Balloon-assisted venous access salvage through a thrombosed arteriovenous graft"],"prefix":"10.1177","volume":"18","author":[{"given":"Chen Pong","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology, Singapore General Hospital, Singapore - Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karthikeyan","family":"Damodharan","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Singapore General Hospital, Singapore - Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thijs A.J.","family":"Urlings","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Singapore General Hospital, Singapore - Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivanathan","family":"Chandramohan","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Singapore General Hospital, Singapore - Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,22]]},"reference":[{"key":"bibr1-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1177\/096721099700500514"},{"key":"bibr2-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00496.x"},{"key":"bibr3-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2009.06.003"},{"key":"bibr4-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1222454"},{"key":"bibr5-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.03.003"},{"key":"bibr6-jva.5000625","doi-asserted-by":"publisher","DOI":"10.1007\/s002709900314"},{"key":"bibr7-jva.5000625","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000360"},{"key":"bibr8-jva.5000625","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000493"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000625","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/jva.5000625","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000625","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T13:17:54Z","timestamp":1740921474000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000625"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,22]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.5301\/jva.5000625"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000625","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"type":"print","value":"1129-7298"},{"type":"electronic","value":"1724-6032"}],"subject":[],"published":{"date-parts":[[2016,11,22]]}}}