Unusual placement of a dialysis catheter: persistent left superior vena cava

Kuppusamy, Tamil; Balogun, Rasheed A.

doi:10.1053/j.ajkd.2003.10.033

Cited by 23 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Those papers in the literature that have specifically addressed the incidental finding of PLSVC at the time of placement of some sort of central venous access device or some sort of central venous monitoring device [38,42,44-123] have generally been directed towards physicians practicing anesthesia [47,48,52,55,58-60,62,64,65,68-71,73,78,85,88,91,92,94,102,117,120,123], critical care [45,46,49-51,53,56,57,72,77,79,83,106,109,110,114,116,119,122], and nephrology [54,66,74,76,80,87,95,96,100,103,104,107,108,113,118]. Despite the fact that a plethora of papers have been published on various aspects of PLSVC and despite there being multiple case reports describing the incidental finding of PLSVC at the time of central venous device placement, there has been very little in the literature specifically directed toward the potential importance of the incidental finding of PLSVC to surgeons, interventional radiologists, and other physicians who are actively involved in central venous access device placement in cancer patients [61,81,82,84,111].…”

Section: Reviewmentioning

confidence: 99%

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

2011

View full text Add to dashboard Cite

Persistent left superior vena cava (PLSVC) represents the most common congenital venous anomaly of the thoracic systemic venous return, occurring in 0.3% to 0.5% of individuals in the general population, and in up to 12% of individuals with other documented congential heart abnormalities. In this regard, there is very little in the literature that specifically addresses the potential importance of the incidental finding of PLSVC to surgeons, interventional radiologists, and other physicians actively involved in central venous access device placement in cancer patients. In the current review, we have attempted to comprehensively evaluate the available literature regarding PLSVC. Additionally, we have discussed the clinical implications and relevance of such congenital aberrancies, as well as of treatment-induced or disease-induced alterations in the anatomy of the thoracic central venous system, as they pertain to the general principles of successful placement of central venous access devices in cancer patients. Specifically regarding PLSVC, it is critical to recognize its presence during attempted central venous access device placement and to fully characterize the pattern of cardiac venous return (i.e., to the right atrium or to the left atrium) in any patient suspected of PLSVC prior to initiation of use of their central venous access device.

show abstract

Section: Reviewmentioning

confidence: 99%

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

2011

View full text Add to dashboard Cite

show abstract

“…A PLSVC drains into either a coronary sinus (92%) or into the left atrium (8%). Technical difficulties associated with PLSVC may lead to misplacement of the catheter and injury to the vessel wall [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Rare complication of a dialysis catheter insertion

Balasubramanian

Gupta

Nicholls

et al. 2014

Clinical Kidney Journal

View full text Add to dashboard Cite

Insertion of a dialysis catheter is a very common procedure in renal medicine, which is associated with one or more complications in ∼15% of patients. Central venous catheter vascular erosion is a rare but serious complication, the incidence appears to be between 0.4 and 1% which can be difficult to diagnose, leading to increased morbidity and mortality. We report a case of a persistent left-sided superior vena cava (PLSVC) and a possible central venous catheter vascular erosion following insertion of a left-sided internal jugular dialysis catheter. We discuss the mechanisms, diagnosis and measures to limit vascular erosion and also briefly discuss PLSVC.

show abstract

“…[23] PLSVC is rarely reported because most dialysis catheters are inserted through the right IJV and PLSVC co-exists with the right SVC in >80% of patients. [45] PLSVC should be considered, especially when central venous catheterization via the left subclavian/IJV proves to be difficult and the fluoroscopy or chest X-ray suggests an aberrant left-sided course for the catheter. It is normally asymptomatic and hemodynamically insignificant.…”

Section: Discussionmentioning

confidence: 99%

Hemodialysis through persistent left superior vena cava

Kute¹,

Av²,

Gumber³

et al. 2011

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

We report a case of end stage renal disease patient who displayed a persistent left superior vena cava (PLSVC) after placement of hemodialysis (HD) catheter through left internal jugular vein, as revealed by routine post-procedure X-ray chest. The diagnosis of PLSVC was confirmed by arterial blood gas, two-dimensional echocardiography, computed tomography thorax and angiographic examination. This anomaly is rather rare; few studies on safety of PLSVC for HD have been reported. The catheter was uneventfully used for HD for 2 months with careful continuous monitoring and removed after arteriovenous fistula was successfully cannulated. Physicians who place HD catheters in the left jugular/subclavian vein should be aware of the existence of PLSVC.

show abstract

Unusual placement of a dialysis catheter: persistent left superior vena cava

Cited by 23 publications

References 11 publications

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

Persistent left superior vena cava: Review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer patients

Rare complication of a dialysis catheter insertion

Hemodialysis through persistent left superior vena cava

Contact Info

Product

Resources

About