Applied Anatomy of the Central Veins

Chantler, J.

doi:10.1002/9780470750186.ch2

Cited by 4 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A central vein is a major vein that is close to the center of the blood circulation. Central veins include the superior vena cava, inferior vena cava, brachiocephalic veins, subclavian veins, common iliac veins, and external iliac veins [ 3 ]. Incidence of CVS ranges from 5% to 50% [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of End-Stage Renal Disease With Hemifacial Swelling

Dubey,

Kashiv,

Sejpal

et al. 2023

Cureus

View full text Add to dashboard Cite

A 64-year-old male, with end-stage renal disease on maintenance hemodialysis twice a week for the last two years, presented with swelling over the left half of his face, left side of the neck, and left upper limb for two months. The vascular access for hemodialysis was the left brachiocephalic arteriovenous (AV) fistula. There was no history of insertion of a dialysis catheter on the left side of the neck. Physical examination showed dilated and tortuous veins over the left side of his chest and left arm with normal-functioning AV fistula. Computed tomography (CT) venogram revealed narrowing in the left brachiocephalic vein and cephalic vein with multiple collaterals in the left upper limb and shoulder region. Ballon angioplasty was done across the stenotic segments, and a good flow was achieved with no remnant stenosis. This is a rare presentation as there was no history of cannulation of left-sided central vessels.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of End-Stage Renal Disease With Hemifacial Swelling

Dubey,

Kashiv,

Sejpal

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Central venous catheterization is associated with several potential complications including pneumothorax, A catheter malpositioned patient with pain and paresthesia thrombosis, bleeding, arrhythmias, infection and malposition (3)(4)(5)(6)(7)(8). Malposition of central venous catheter is not uncommon and can lead to disastrous consequences like perforation, thrombosis, local toxicity, neurologic deficit and hematoma (9,10). Therefore, a chest X-ray should be obtained after insertion of the catheter to ensure its position (6) and also any minimal changes in the size of catheter which is inserted should be evaluated by the physician.…”

Section: Discussionmentioning

confidence: 99%

A catheter malpositioned patient with pain and paresthesia

haghi

Shokri

Vahdati

et al. 2015

Journal of Emergency Practice and Trauma

View full text Add to dashboard Cite

We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti's pain and paresis during hemodialysis. A posteroanterior chest x-ray showed the catheter tip was accidently pushed from right internal jugular vein into right subclavian vein during hemodialysis by the dialysis center nurse. Therefore, we believe that the physician should be aware of any changes in the catheter size after insertion. And a chest x-ray should ensure the catheter's correct position in any patient who develops complications.

show abstract

“…Some of the anatomical variations in neck veins are Left Superior Vena Cava or persistent Superior Vena Cava or rarely patient may present with Dextrocardia. [5] While some of the acquired variations are stenosis or thrombosis of previously cannulated patients, stricture in the superior vena cava when patients are cannulated for hemodialysis, tortuosity of veins or due to mediastinal shifts in cases of effusions or lung collapse. [5] Many studies have shown the possible causes for malposition of the central venous catheter.…”

Section: Discussionmentioning

confidence: 99%

“…[5] While some of the acquired variations are stenosis or thrombosis of previously cannulated patients, stricture in the superior vena cava when patients are cannulated for hemodialysis, tortuosity of veins or due to mediastinal shifts in cases of effusions or lung collapse. [5] Many studies have shown the possible causes for malposition of the central venous catheter. Some authors assume the length of the guidewire to be the cause while some other authors assume the length of the catheter itself maybe a cause for malpositioning in adults [5].…”

Section: Discussionmentioning

confidence: 99%

“…[5] Many studies have shown the possible causes for malposition of the central venous catheter. Some authors assume the length of the guidewire to be the cause while some other authors assume the length of the catheter itself maybe a cause for malpositioning in adults [5]. Some authors opine that the average safe insertion depth of central venous catheter from left subclavian vein is approximately 16.5cm and should not exceed a depth of >20cm from the right sided veins [6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Malposition of Central Venous Catheter – Three case reports

Mohan¹

2013

IOSR-JDMS

View full text Add to dashboard Cite

Central Venous Cannulation is a routine procedure done in the Operation Theatre and the Intensive Care Unit. Malpositioning is a very common occurance with the regular anatomical landmark technique. As the central venous catheters are essential in various critical care scenarios, hence any misplacement can hamper its purpose. Here we have three cases where in we saw the migration of the Right Subclavian Vein Catheter into the Ipsilateral Internal Jugular Vein, Contralateral Subclavian Vein and into the Ipsilateral External Jugular Vein radiologically. Hence a thorough knowledge of normal and variant anatomy is required for the proper positioning of Central Venous Catheters. Also radiological techniques like ultrasound guided cannulation may avoid inadverdent arterial puncture but may not be able to avoid malpositioning.

show abstract

Applied Anatomy of the Central Veins

Cited by 4 publications

References 0 publications

A Case of End-Stage Renal Disease With Hemifacial Swelling

A Case of End-Stage Renal Disease With Hemifacial Swelling

A catheter malpositioned patient with pain and paresthesia

Malposition of Central Venous Catheter – Three case reports

Contact Info

Product

Resources

About