Percutaneous central venous catheterization through the external jugular vein in children: is inserting the guide wire into the superior vena cava essential for successful catheterization?

2012 ◽  
Vol 47 (9) ◽  
pp. 1742-1747 ◽  
Author(s):  
Paulo Custódio F. Cruzeiro ◽  
Paulo Augusto M. Camargos ◽  
Edson S. Tatsuo ◽  
Clécio Piçarro ◽  
Bernardo A. Campos ◽  
...  
2009 ◽  
Vol 10 (3) ◽  
pp. 219-220 ◽  
Author(s):  
Marco Caruselli ◽  
Gianmarco Piattellini ◽  
Gianfranco Camilletti ◽  
Roberto Giretti ◽  
Raffaella Pagni

A persistent left superior vena cava (PLSVC) is a congenital anomaly of the systemic venous system. This anomaly is often discovered as an incidental result during central venous catheterization passing through the left subclavian or the left internal jugular vein. We report two cases of PLSVC in pediatric patients.


Author(s):  
Francisco Lopes Morgado ◽  
Bárbara Saraiva ◽  
Celestina Blanco Torres ◽  
João Correia

Introduction: Persistence of the left superior vena cava (LSVC) is a rare anatomical variant in the general population with an estimated incidence of 0.3-0.5% in healthy individuals. Its diagnosis can be made incidentally after imaging control of central venous catheter (CVC) or other types of devices placements. Patient and Methods: We present the case of a patient with an acute disease which required central venous catheterization for the administration of intravenous chemotherapy. Results: Central venous catheterization proved difficult and after imaging control it revealed an unusual position of the catheter tip. Additional study to verify catheter tip position was performed and computed tomography (CT-scan) revealed the presence of a persistent left superior vena cava. The patient was then submitted to the planned treatment without any record of complications associated with CVC. Conclusion: Although uncommon the persistence of the LSVC can have an important impact in clinical practice, particularly when more invasive procedures are required. Its recognition is relevant in order to minimize the potential complications inherent to these procedures.


1997 ◽  
Vol 23 (9) ◽  
pp. 1002-1004 ◽  
Author(s):  
E. Garcia ◽  
I. Granier ◽  
A. Geissler ◽  
M. D. Boespflug ◽  
P. E. Magnan ◽  
...  

2009 ◽  
Vol 10 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Antonio Granata ◽  
Simeone Andrulli ◽  
Fulvio Fiorini ◽  
Francesco Logias ◽  
Michele Figuera ◽  
...  

Variations in the course of the blood vessels are often incidental findings during clinical examination. Persistent left superior vena cava (PLSVC) is an uncommon anomaly, estimated to be present in about 0.3–0.5% of healthy individuals and in about 3–10% of patients with congenital heart disease. It results from the failure of the left anterior cardinal vein to degenerate during embryological development. Serious complications such as shock, angina and cardiac arrest have been described during catheterization in adults with a PLSVC. Since it frequently goes undiagnosed because of lack of symptoms when not accompanied by other anomalies, variations of the superior vena cava should be considered, especially when central venous catheterization via the subclavian or internal jugular vein is difficult. The embryological development, diagnosis, and clinical implications of a PLSVC are therefore reviewed in this article.


2015 ◽  
Vol 16 (4) ◽  
pp. 265-268 ◽  
Author(s):  
Umberto G. Rossi ◽  
Paolo Rigamonti ◽  
Pierluca Torcia ◽  
Giovanni Mauri ◽  
Francesca Brunini ◽  
...  

2003 ◽  
Vol 11 (3) ◽  
pp. 190-192 ◽  
Author(s):  
Lamberto Laurenzi ◽  
Sebastiano Natoli ◽  
Lorella Pelagalli ◽  
Maria Elena Marcelli ◽  
Daniele Abbattista ◽  
...  

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