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Ramkumar PG et al. – This report describes a technique of inserting an implantable venous access port through a thrombosed and occluded vein employing a pre–existing peripherally inserted central catheter as the route of access. The PICC was used as a conduit for venous access in a way that has not been described previously in the literature. This procedure was performed in a young patient with cystic fibrosis in an effort to prevent the use of his virgin contralateral veins, which might be used in the future.

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