Transhepatic vascular access in pediatric cardiology patients with occlusion of traditional central venous sites

Central venous access in pediatric patients with complex congenital heart d isease may be difficult. Percutaneous transhepatic access offers an alterna tive for patients,vith occlusion of traditional central venous sites. We re viewed our experience utilizing transhepatic access in 10 consecutive pedia tric cardiology patients for central venous lines, cardiac catheterization and endomyocardial biopsy. We include 5 patients who have had multiple proc edures via the transhepatic approach.