Malposition of subclavian vein catheter due to undiagnosed persistant superior vena cava during pediatric cardiac surgery

2008 ◽  
Vol 18 (12) ◽  
pp. 1265-1267 ◽  
Author(s):  
Elif A. Akpek ◽  
Arash Pirat ◽  
Birgül Varan ◽  
Sükrü Mercan
Keyword(s):  
Cardiac Surgery ◽  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Pediatric Cardiac Surgery ◽  
Vein Catheter

Direct Femoral Cannulation in Minimal Invasive Pediatric Cardiac Surgery

2018 ◽  
Vol 13 (4) ◽  
pp. 300-304 ◽  
Author(s):  
Vivek A. Wadhawa ◽  
Kartik G. Patel ◽  
Chirag P. Doshi ◽  
Jigar K. Shah ◽  
Jaydip A. Ramani ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Superior Vena Cava ◽  
Femoral Artery ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Pediatric Cardiac Surgery

Objective One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. Methods From January 2013 to June 2016, 200 children (122 males) with mean ± SD age of 9.2 ± 4.51 years (median = 6 years, range = 3–18 years) and weight of 19.22 ± 8.49 kg (median = 15 kg, range = 8–45 kg) were operated for congenital cardiac defects through anterolateral thoracotomy. The most common diagnosis was atrial septal defect (144 patients). In all the patients, femoral artery and femoral vein were cannulated along with direct superior vena cava cannulation for institution of cardiopulmonary bypass. Results There were no deaths or any major complications related to femoral cannulation. Femoral artery cannulation provided adequate arterial inflow, whereas femoral vein with direct superior vena cava cannulation provided adequate venous return in all the patients. No patient required vacuum-assisted venous drainage. No patient required conversion to sternotomy or developed vascular, neurological complications. At discharge and at 1-year follow-up, both femoral artery and vein were patent without a significant stenosis on color Doppler ultrasonography in all the patients. At mean ± SD follow-up period of 30.63 ± 10.09 months, all the patients were doing well without any wound-related, neurological, or vascular complications. Conclusions Femoral arterial and venous cannulation is a feasible, reliable, and efficient method for institution of cardiopulmonary bypass in minimally invasive pediatric cardiac surgery.

Acute development of superior vena cava syndrome after pediatric cardiac surgery

2008 ◽  
Vol 18 (10) ◽  
pp. 997-998 ◽  
Author(s):  
Masayuki Shibasaki ◽  
Yasufumi Nakajima ◽  
Naoko Inami ◽  
Fumihiro Shimizu ◽  
Satoru Beppu ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Pediatric Cardiac Surgery ◽  
Vena Cava Syndrome

Superior vena cava syndrome following neonatal cardiac surgery

2001 ◽  
Vol 2 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Erez Sharoni ◽  
Eldad Erez ◽  
Einat Birk ◽  
Jacob Katz ◽  
Ovadia Dagan
Keyword(s):  
Cardiac Surgery ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Neonatal Cardiac Surgery ◽  
Vena Cava Syndrome

scholarly journals Ultrasound-guided catheterization of the left subclavian vein without recognition of persistent left superior vena cava

Medicine ◽  
2017 ◽  
Vol 96 (19) ◽  
pp. e6803 ◽  
Author(s):  
Sun Young Park ◽  
Jae Hwa Yoo ◽  
Mun Gyu Kim ◽  
Sang Ho Kim ◽  
Byoung-Won Park ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Ultrasound Guided ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Left Subclavian Vein

The diagnostic value of multi-detector CT angiography for catheter-related central venous stenosis in hemodialysis patients

2020 ◽  
pp. 026835552095509
Author(s):  
Yuliang Zhao ◽  
Letian Yang ◽  
Yating Wang ◽  
Huawei Zhang ◽  
Tianlei Cui ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Brachiocephalic Vein ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Central Venous Stenosis

The objective is to compare Multi-detector CT angiography (MDCTA) and digital subtraction angiography (DSA) in diagnosing hemodialysis catheter related-central venous stenosis (CVS). During a period of 6 years, hemodialysis patients with suspected catheter related-CVS who received both MDCTA and DSA were retrospectively enrolled. We analyzed the sensitivity, specificity, accuracy, Cohen’s kappa coefficient (κ) and other diagnostic parameters for MDCTA compared to DSA. A total of 1533 vascular segments in 219 patients were analyzed. Among the 280 lesions identified by DSA, 156 were correctly identified by MDCTA. There were 124 false negative and 41 false positive diagnoses. MDCTA had a high specificity (96.73%) but a low sensitivity (55.71%), with a moderate inter-test agreement (κ = 0.5930). In stratified analyses of vascular segments, the specificities of MDCTA were 89.93% (superior vena cava), 98.95% (left brachiocephalic vein), 95.33% (right brachiocephalic vein), 99.53% (left subclavian vein), 97.61% (right subclavian vein), 97.13% (left internal jugular vein), and 95.86% (right internal jugular vein), while the sensitivities were 90.00%, 65.52%, 66.67%, 87.50%, 40.00%, 20.00% and 8.11%, respectively. Good to excellent inter-test agreement was observed for the superior vena cava (κ = 0.7870), left brachiocephalic vein (κ = 0.7300), right brachiocephalic vein (κ = 0.6610), and left subclavian vein (κ = 0.8700) compared with poor to low agreement for the right subclavian vein (κ = 0.3950), left internal jugular vein (κ = 0.1890), and right internal jugular vein (κ = 0.0500). MDCTA had a high specificity in diagnosing hemodialysis catheter related-CVS. Its sensitivity varied by central venous segments, with better performance in superior vena cava and brachiocephalic veins.

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