scholarly journals Persistent left vena cava incidentally recognized during subclavian vein catheterization

Critical Care ◽  
2010 ◽  
Vol 14 (1) ◽  
pp. 405 ◽  
Author(s):  
Julien Bordes ◽  
Yves Asencio ◽  
Erwan d'Arranda ◽  
Philippe Goutorbe
Keyword(s):  
Subclavian Vein ◽  
Vena Cava ◽  
Left Vena ◽  
Vein Catheterization

Complication of Right Subclavian Vein Catheterization: Superior Vena Cava Perforation

2013 ◽  
Vol 19 (2) ◽  
pp. 103-105
Author(s):  
Burcin Celik ◽  
Serhat Kocamanoglu ◽  
Yasemin Bilgin Buyukkarabacak ◽  
Esra Sarihasan
Keyword(s):  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Vein Catheterization

Minimal guidewire length for central venous catheterization of the right subclavian vein: A CT-based consecutive case series

2021 ◽  
pp. 112972982199398
Author(s):  
Maria Adrian ◽  
Pär Bengtsson ◽  
Ola Borgquist ◽  
Gracijela Bozovic ◽  
Thomas Kander
Keyword(s):  
Superior Vena Cava ◽  
Subclavian Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Vessel Length ◽  
The Wire ◽  
Tip Position ◽  
The Right ◽  
Vein Catheterization

Background: Central venous catheter (CVC) misplacement occurs frequently after right subclavian vein catheterization. It can be avoided by using ultrasound to confirm correct guidewire tip position in the lower superior vena cava prior to CVC insertion. However, retraction of the guidewire during the CVC insertion may dislocate the guidewire tip from its desired and confirmed position, thereby resulting in CVC misplacement. The aim of this study was to determine the minimal guidewire length required to maintain correct guidewire tip position in the lower superior vena cava throughout an ultrasound-guided CVC placement in the right subclavian vein. Methods: One hundred adult patients with a computed tomography scan of the chest were included. By using multiplanar reconstructions from thin-sliced images, the distance from the most plausible distal puncture site of the right subclavian vein to the optimal guidewire tip position in the lower superior vena cava was measured (vessel length). In addition, measurements of equipment in common commercial over-the-wire percutaneous 15–16 cm CVC kits were performed. The 95th percentile of the vessel length was used to calculate the required minimal guidewire length for each CVC kit. Results: The 95th percentile of the vessel length was 153 mm. When compared to the calculated minimal guidewire length, the guidewires were up to 108 mm too short in eight of eleven CVC kits. Conclusion: After confirmation of a correct guidewire position, retraction of the guidewire tip above the junction of the brachiocephalic veins should be avoided prior to CVC insertion in order to preclude dislocation of the catheter tip towards the right internal jugular vein or the left subclavian vein. This study shows that many commercial over-the-wire percutaneous 15–16 cm CVC kits contain guidewires that are too short for right subclavian vein catheterization, i.e., guidewire retraction is needed prior to CVC insertion.

Comparison Between Supraclavicular and Infraclavicular Approach in Subclavian Vein Catheterization in Tertiary Center of Nepal

2020 ◽  
Vol 3 (2) ◽  
pp. 111-115
Author(s):  
Robin Khapung ◽  
Jeju Nath Pokharel ◽  
Kiran Kumar KC ◽  
Kripa Pradhan ◽  
Uma Gurung ◽  
...  
Keyword(s):  
Success Rate ◽  
Subclavian Vein ◽  
Guide Wire ◽  
Femoral Vein ◽  
Access Time ◽  
P Value ◽  
Central Vein ◽  
Chi Square ◽  
Tertiary Center ◽  
Vein Catheterization

Introduction: Central vein catheterization can be introduced in subclavian vein (SCV), internal jugular vein or femoral vein for volume resuscitation and invasive monitoring technique. Due to anatomical advantage and lesser risk of infection subclavian vein is preferred. Either supraclavicular (SC) or infraclavicular (IC) approach could be used for subclavian vein catheterization. The aim of the study was to compare SC and IC approach in ease of catheterization of SCV and record the complications present if any. Methods and materials: This was a hospital based comparative, interventional study conducted from November 2016 to October 2017 in Operation Theater in Bir Hospital. In this study, 70 patients for elective surgical cases meeting the inclusion criteria were randomly enrolled. Then samples were equally divided by lottery into either supraclavicular or infraclavicular approach groups. The Access time, cannulation success rate, attempts made for successful cannulation of vein, easy insertion of catheter and guide wire, approximate inserted length of catheter and associated complications in both groups were recorded. Data was entered in statistical software SPSS 16. Chi-square test was used. P value < 0.05 was considered significant. Results: The mean access time in group SC for SCV catheterization was 2.12 ± 0.81 min compared to 2.83 ± 0.99 min in group IC (p-value= 0.002). The overall success rate in catheterization of the right SCV using SC approach (34 / 35) was better as compared with group IC (33 / 35) using IC approach. First successful attempt in the SC group was 74.28% as compared with 57.14% in the IC group. Conclusion: The SC approach of SCV catheterization can be considered alternative to IC approach in terms of landmark accessibility, success rate and rate of complications.

Atrial Septal Defect Closure via Left Subclavian Vein Approach in a Patient With Absent Inferior Vena Cava

2021 ◽  
pp. 215013512098380
Author(s):  
Yusuke Enta ◽  
Shunsuke Tatebe ◽  
Yoshikatsu Saiki ◽  
Norio Tada
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Subclavian Vein ◽  
Septal Defect ◽  
Inferior Vena ◽  
Transcatheter Closure ◽  
Vena Cava ◽  
Atrial Septal Defect Closure ◽  
Azygos Continuation ◽  
Left Subclavian Vein

Without the femoral venous approach, transcatheter closure of an atrial septal defect is challenging. We performed percutaneous closure via the left subclavian vein in a patient with absence of the inferior vena cava with azygos continuation. Considering that inferior vena cava anomalies are not extremely rare among those with congenital heart disease, the left subclavian vein approach can be an alternative to the femoral approach.

scholarly journals Technical Note: Coccygeal vein catheterization for sampling of reproductive tract-derived products from the uterine–ovarian drainage

2021 ◽  
Vol 99 (2) ◽  
Author(s):  
Sydney T Reese ◽  
Gessica A Franco ◽  
Ramiro V Oliveira Filho ◽  
Reinaldo F Cooke ◽  
Michael F Smith ◽  
...  
Keyword(s):  
General Circulation ◽  
Reproductive Tract ◽  
Jugular Vein ◽  
Vena Cava ◽  
Technical Note ◽  
Sample Collection ◽  
Major Consequence ◽  
Exact Evaluation ◽  
Reproductive Processes ◽  
Vein Catheterization

Abstract Blood sample collection from the caudal vena cava at the site of uterine–ovarian drainage provides a more exact evaluation of the concentration and pattern of secretion of uterine or ovarian secreted products for studies of reproductive processes in cyclic and pregnant cattle compared with samples collected from general circulation. This paper describes a thorough and updated procedure for cannulating the coccygeal vein into the caudal vena cava for the collection of serial blood samples at or near the site of uterine–ovarian drainage. Concentrations of progesterone were quantified in cows of different reproductive tract sizes with an active corpus luteum to assess the distance for proper catheter placement compared with circulating concentrations collected from the jugular vein. This procedure has a low risk for side effects, can be used effectively in pregnant animals with no major consequence to the viability of the pregnancy, and provides means for frequent collections up to 12 d.

scholarly journals Atypical drainage of a persistent left vena cava superior into the left atrial appendage detected by multidimensional imaging: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Sophie Lengning ◽  
René Aschenbach ◽  
P. Christian Schulze ◽  
Marcus Franz
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Incidental Finding ◽  
Vena Cava ◽  
Atrial Appendage ◽  
Venous Anomaly ◽  
Cerebral Lesions ◽  
Pulmonary Scintigraphy ◽  
Vena Cava Superior ◽  
Left Vena

Abstract Background While it is the most common thoracic venous anomaly, a persistent left vena cava superior may present in atypical variations, which are important to consider during clinical management. Case presentation Here we report a 35-year-old Caucasian female patient with drainage into the left atrial appendage who presented with shortness of breath accompanied by mild hypoxemia. Venous contrast filling in the context of pulmonary scintigraphy suspected an additional superior caval vein connected to the left atrial appendage. Diagnosis was confirmed by transesophageal echocardiography. Cardiac catheterization revealed a minor right-to-left shunt. The symptoms could be allocated to a bronchial asthma and treated according to guidelines. Cerebral lesions detected in the patient were due to a coincident multiple sclerosis rather than cerebral embolisms. Thus, the venous anomaly was classified as an incidental finding currently requiring no treatment. Conclusions To the best of our knowledge, this is the first report of a persistent left vena cava superior draining into the left atrial appendage.

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