In the adaptation of new procedures and techniques in medical therapy there is a tendency to abandon or overlook an occasional therapeutic aid which has proved of value in the past. The case here presented illustrates the use of such a technique which we believe is ideal in the situation under discussion.
The patient was a child with thalassemia major (Mediterranian anemia, Cooley's anemia, erythroblastic anemia) in whom repeated transfusions were necessary. Eventually as a result of this and because of the age of the patient, her obesity, and the extremely low hemoglobin, together with decreased peripheral circulation, each succeeding transfusion became more and more of an ordeal, to the patient, to the parents, and to the physician, until a point was reached at which such transfusions were no longer technically possible. Superior saggital sinus transfusion might have been done, but this is not without danger and requires considerable experience