Pleural Effusion Associated With Ipsilateral Breast and Arm Edema as a Complication of Subclavian Vein Catheterization and Arteriovenous Fistula Formation for Hemodialysis

CHEST Journal ◽  
1994 ◽  
Vol 106 (3) ◽  
pp. 950-952 ◽  
Author(s):  
Robert S. Wright ◽  
William J. Quinones-Baldrich ◽  
Alpha J. Anders ◽  
Gabriel M. Danovitch
Keyword(s):  
Pleural Effusion ◽  
Arteriovenous Fistula ◽  
Subclavian Vein ◽  
Fistula Formation ◽  
Ipsilateral Breast ◽  
Vein Catheterization

Pleural effusion with arm, breast, and face edema as a complication of subclavian vein catheterization and arteriovenous fistula in a patient after renal transplantation: A therapeutic approach

2020 ◽  
pp. 112972982096195
Author(s):  
Mirosław Banasik ◽  
Tomasz Dawiskiba ◽  
Krzysztof Letachowicz ◽  
Sławomir Zmonarski ◽  
Oktawia Mazanowska ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Pleural Effusion ◽  
Arteriovenous Fistula ◽  
Subclavian Vein ◽  
Graft Function ◽  
Central Vein ◽  
Venous Flow ◽  
Unsuccessful Attempt ◽  
Vein Occlusion ◽  
Vein Catheterization

A 52-year-old woman after renal transplantation developed unilateral pleural effusion as well as a massive edema of the upper limb, breast, and face as a complication of the subclavian vein catheterization and arteriovenous fistula for hemodialysis. We revealed that impaired venous drainage due to extensive vein occlusion after temporary catheter insertion, together with high venous flow from the arteriovenous fistula, were the explanation. Because of moderately impaired renal graft function and limited availability of vascular access in the patient, fistula ligation as a therapeutic method described in literature, was not an option in our case. The patient underwent an unsuccessful attempt of venous angioplasty, and eventually banding of the fistula and blood flow reduction resolved pleural effusions and edema. This is a reasonable approach to the problem of massive upper torso edema due to central vein occlusion with ipsilateral arteriovenous fistula.

Delayed Pleural Effusion after Right Subclavian Vein Catheterization - A Case Report -

2010 ◽  
Vol 25 (3) ◽  
pp. 190
Author(s):  
Ji Ung Kim ◽  
Ji Hyun Cheon ◽  
Il Soo Kim ◽  
Sun Kwang Kim ◽  
Sung Hyun Ko ◽  
...  
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Subclavian Vein ◽  
Vein Catheterization

Benign Intracranial Hypertension: A Complication of Subclavian Vein Catheterization and Arteriovenous Fistula

1986 ◽  
Vol 8 (4) ◽  
pp. 262-264 ◽  
Author(s):  
Sunder M. Lal ◽  
Zbylut J. Twardowski ◽  
John Van Stone ◽  
Dan Keniston ◽  
Wendell J. Scott ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Arteriovenous Fistula ◽  
Subclavian Vein ◽  
Benign Intracranial Hypertension ◽  
Vein Catheterization

scholarly journals Brachial Plexopathy: Complication of Subclavian Vein Catheterization

2014 ◽  
Vol 3 (2) ◽  
pp. 76-78
Author(s):  
Vinay Malhotra ◽  
Pankaj Beniwal ◽  
Mohit Mathur
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Arteriovenous Fistula ◽  
Subclavian Vein ◽  
Neurological Complications ◽  
Brachial Plexopathy ◽  
Neurological Sequelae ◽  
Increased Risk ◽  
Initiation Of Dialysis ◽  
Vein Catheterization

ABSTRACT Central venous catheters (CVCs) are often used in critical care setting for resuscitation and monitoring and as a temporary access for hemodialysis. The increased risk of complications associated with CVCs chronic kidney disease (CKD) patients is not recognized widely. Neurological complications are extremely rare with only few cases reported. Brachial plexus injury may occur by direct needle injury or by compressive effects of a hematoma. Prompt evacuation of hematoma is warranted to prevent permanent neurological sequelae. We describe a case of brachial plexopathy after subclavian vein cannulation attempt with full recovery on conservative treatment. Prevention of such complications is the best way to reduce morbidity in CKD patients. For this timely creation of an arteriovenous fistula in CKD patients, ultrasound-guided insertion of CVCs, use of internal jugular vein as the preferred route, and close watch on coagulation defects due to uremic state is recommended. Key messages Chronic kidney disease (CKD) patients should have a permanent vascular access (arteriovenous fistula) well in advance of anticipated time of initiation of dialysis. How to cite this article Beniwal P, Malhotra V, Mathur M. Brachial Plexopathy: Complication of Subclavian Vein Catheterization. Panam J Trauma Crit Care Emerg Surg 2014;3(2):76-78.

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.

Sign in / Sign up

Export Citation Format

Share Document