Central venous access port placement by translumbar approach using angio-CT unit in patients with superior vena cava syndrome

Placement of internal jugular catheters is more likely to be complicated if a left-sided approach is used, assuming normal anatomy. Kartagener syndrome is the sine qua non of sidedness confusion and results in cognitive challenges that increase the risk of adverse patient outcomes. The altered anatomy can cause profound disorientation from our usual processes. In normal circumstances the right-sided approach is used for placement of internal jugular catheters, but in Kartagener syndrome the left-sided approach should be preferred. Surgical volume and use of ultrasound guided techniques are positively correlated with better outcomes. Clinical experience may be a detriment to performance. Knowledge of these issues will help clinicians maintain vigilance and avoid error. Keywords: Kartagener syndrome, central venous access, superior vena cava, landmark technique, internal jugular vein catheterization cognitive bias

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Sharp Recanalization of a Chronically Occluded Superior Vena Cava in a Patient with Multiple Prior Peripherally Inserted Central Catheters

Journal of the Association for Vascular Access ◽

10.2309/j.java.2019.002.001 ◽

2019 ◽

Vol 24 (2) ◽

pp. 21-26

Author(s):

Omar Shwaiki ◽

Sarah Khoncarly ◽

James J. Buchino ◽

Janice McDaniel

Keyword(s):

Superior Vena Cava ◽

Superior Vena ◽

Central Venous Access ◽

Vena Cava ◽

Venous Access ◽

Collateral Flow ◽

Central Venous ◽

Peripherally Inserted Central Catheters ◽

Sharp Recanalization ◽

Central Catheters

Highlights Recurrent central venous access can lead to central venous occlusions. Collateral flow can be used adventitiously for PICC tip placement. Sharp recanalization can be used to reconstitute patency of an occluded SVC.

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Tunnelled central venous catheter–induced thrombosis: a rare case of superior vena cava syndrome

CJEM ◽

10.1017/s1481803500014433 ◽

2005 ◽

Vol 7 (04) ◽

pp. 273-277 ◽

Cited By ~ 2

Author(s):

Sandeep K. Aggarwal ◽

William McCauley

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Venous Obstruction ◽

Central Venous ◽

Arm Swelling ◽

Vena Cava Syndrome

ABSTRACTThrombotic venous obstruction in patients with a tunnelled central venous catheter is a cause of superior vena cava syndrome that is not routinely encountered by emergency physicians. Diagnosis requires identifying patients at risk (e.g., those under treatment for cancer and those who have a tunnelled central venous catheter), recognizing the signs and symptoms of superior vena cava syndrome, usually dyspnea and dilated neck or thoracic veins, and imaging the venous obstruction using computer tomography or sonography. Management involves anticoagulation and local thrombolytic administration. We report the case of a 28-year-old woman who presented with a 2-day history of face, chest and bilateral arm swelling who had been receiving maintenance chemotherapy for acute lymphoblastic leukemia through a Hickman® catheter. This case demonstrates the need to be vigilant for thrombus formation in patients with long-term, indwelling central venous catheters.

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Central venous catheter-related thrombosis presenting as superior vena cava syndrome in a haemophilic patient with inhibitors

Haemophilia ◽

10.1046/j.1365-2516.2003.00791.x ◽

2003 ◽

Vol 9 (5) ◽

pp. 578-583 ◽

Cited By ~ 27

Author(s):

M. D. Carcao ◽

B. L. Connolly ◽

P. Chait ◽

A. M. Stain ◽

M. Acebes ◽

...

Keyword(s):

Central Venous Catheter ◽

Superior Vena Cava ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous ◽

Vena Cava Syndrome ◽

Catheter Related Thrombosis

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Superior Vena Cava Duplication: The Red Herring of Central Line Placement

Case Reports in Surgery ◽

10.1155/2019/6401236 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Karin Gunther ◽

Carmen Lam ◽

David Siegel

Keyword(s):

Superior Vena Cava ◽

Superior Vena ◽

Central Venous Access ◽

Vena Cava ◽

Venous Catheter ◽

Venous Access ◽

The United States ◽

Central Line ◽

Central Venous ◽

Central Venous Access Lines

5 million central venous access lines are placed every year in the United States, and it is a common surgical bedside procedure. We present a case of a central venous catheter placement with port for chemotherapy use, during which a duplication of a superior vena cava was discovered on CTA chest after fluoroscopy could not confirm placement of the guidewire. Due to its potential clinical implications, superior vena cava duplication must be recognized when it occurs.

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