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. 2017 May 1;56(9):1041–1048. doi: 10.2169/internalmedicine.56.7761

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Copyright © 2017 by The Japanese Society of Internal Medicine

The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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Figure 4. — We punctured the right internal jugular vein and introduced an 8-Fr balloon catheter with a 20-mm diameter. We advanced it to the left renal vein and occluded the end of the efferent vein (a). We then tried to cannulate the inferior phrenic vein from the inferior vena cava (IVC). We injected contrast medium via the balloon catheter and performed CT to determine where the end of the inferior phrenic vein was located (b, c). Although we used various types of catheter, such as Cobra, Multipurpose, and Michaelson types, we were unable to cannulate due to indentation.