scholarly journals Evaluation of a central venous catheter tip placement for superior vena cava–subclavian central venous catheterization using a premeasured length

Medicine ◽  
2018 ◽  
Vol 97 (2) ◽  
pp. e9600
Author(s):  
Hyun-Jung Kwon ◽  
Young-Il Jeong ◽  
In-Gu Jun ◽  
Young-Jin Moon ◽  
Yu-Mi Lee
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Central Venous Catheterization ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Venous Catheterization ◽  
Catheter Tip

scholarly journals Persistent Left Superior Vena Cava: A Finding After Central Venous Catheterization

2021 ◽  
Author(s):  
Francisco Lopes Morgado ◽  
Bárbara Saraiva ◽  
Celestina Blanco Torres ◽  
João Correia
Keyword(s):  
Superior Vena Cava ◽  
Central Venous Catheterization ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Anatomical Variant ◽  
Persistent Left Superior Vena ◽  
Venous Catheterization ◽  
Catheter Tip

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.

Central venous access

2019 ◽  
Vol 80 (8) ◽  
pp. C114-C119
Author(s):  
Joel Lockwood ◽  
Neel Desai
Keyword(s):  
Central Venous Catheter ◽  
Central Venous Catheterization ◽  
Superior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Catheter ◽  
Seldinger Technique ◽  
Haemodynamic Monitoring ◽  
Central Venous ◽  
Venous Catheterization

Central venous catheterization is the placement of a catheter in such a manner that its tip is positioned within the proximal third of the superior vena cava, the right atrium or the inferior vena cava. It is indicated when access for administration of drugs or extracorporeal blood circuits and haemodynamic monitoring or interventions is needed. When inserting a central venous catheter, appropriate preparation and asepsis, positioning of the patient, and the use of ultrasound should be considered. Compared to the landmark method of localization, ultrasound can account for anatomical variations, facilitate visualization of venous puncture, and safeguard against inadvertent arterial puncture. In the Seldinger technique, which is the primary mode of central venous catheterization, a needle is passed towards the chosen vessel. Once the needle is in the vein, a guidewire is introduced through the needle into the vessel and the needle is removed. Following a small skin incision at the base of the guidewire, a dilator is advanced over the guidewire and then taken out. Subsequent to this, the central venous catheter is railroaded over the guidewire into the vein and the guidewire is withdrawn. Complications of central venous catheterization can be mechanical, infectious or thrombotic.

Transesophageal echocardiography guided optimal positioning of central venous catheter tip in superior vena cava during surgical repair of sinus venosus atrial septal defect

2021 ◽  
pp. 112972982098735
Author(s):  
AV Varsha ◽  
Saravana Babu ◽  
Sharmila S ◽  
Jagadish A ◽  
Prasanta Kumar Dash ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Transesophageal Echocardiography ◽  
Superior Vena Cava ◽  
Surgical Repair ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Right Pulmonary Artery ◽  
Catheter Tip

Positioning of central venous catheter (CVC) tip in the intrathoracic portion of superior vena cava (SVC) is essential during the surgical repair of superior sinus venous atrial septal defects (SVASD). Although tracheal carina is described as a radiological landmark for positioning the tip of CVCs, it may not be successful at all times. We describe a case of SVC type SVASD, where the SVC-right pulmonary artery crossing point imaged on transesophageal echocardiography was used as an echocardiographic landmark for optimal positioning of the CVC tip.

scholarly journals Case Report of a Left-sided Superior Vena Cava Causing Unique Positioning of Central Line

2020 ◽  
Vol 4 (4) ◽  
pp. 587-590
Author(s):  
Michael Mancera ◽  
Nicholas Genthe ◽  
Nicholas Lepa
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Unknown Etiology ◽  
Central Venous ◽  
Post Procedure ◽  
Catheter Tip

Introduction: Persistent left-sided superior vena cava is a rare congenital venous malformation. While often clinically asymptomatic, these variations in normal anatomy may give rise to complications with central venous catheter placement.  Case Report: We present a case of a 71-year-old male who presented to the emergency department with sepsis of unknown etiology. A right-sided central venous catheter was placed, and due to a persistent left-sided superior vena cava the post-procedure chest radiograph showed a uniquely positioned catheter tip within the left atrium.  Conclusion: A persistent left-sided superior vena cava may lead to uniquely positioned catheter tip placement on post-procedural imaging. This case demonstrates the need to consider variants in normal venous anatomy, such as persistent left-sided superior vena cava, to aid with correct interpretation of post-procedure imaging findings.

Using Ultrasound to Identify the Central Venous Catheter Tip in the Superior Vena Cava

ICU Director ◽  
2010 ◽  
Vol 1 (4) ◽  
pp. 220-222 ◽  
Author(s):  
Keith Killu ◽  
Alton Parker ◽  
Victor Coba ◽  
Mathilda Horst ◽  
Scott Dulchavsky
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Tip

Electrosurgical Removal of a Central Venous Catheter Inadvertently Sutured Into the Superior Vena Cava

2021 ◽  
Author(s):  
Sandeep Arunothayaraj ◽  
Kristoffer Tanseco ◽  
Anna-Lucia Koerling ◽  
Andrew Hill ◽  
Jonathon Hyde ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Venous Catheter ◽  
Central Venous

Persistent Left Superior Vena Cava in Pediatric Patients

2009 ◽  
Vol 10 (3) ◽  
pp. 219-220 ◽  
Author(s):  
Marco Caruselli ◽  
Gianmarco Piattellini ◽  
Gianfranco Camilletti ◽  
Roberto Giretti ◽  
Raffaella Pagni
Keyword(s):  
Superior Vena Cava ◽  
Pediatric Patients ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Venous Catheterization

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.

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