Complications of Denver Shunt

Hepatic hydrothorax secondary to transdiaphragmatic spread of peritoneal fluid can cause respiratory discomfort to the patient. Draining of hydrothorax helps relieve these symptoms. Pleurovenous shunt (Denver shunt) is a relatively non-invasive method of shunting the pleural fluid to the central venous system. Reported complications of pleurovenous shunts are shunt failure, pulmonary edema, post shunt coagulopathy, deep vein thrombosis, and infection. We report a rare case of a leak at the venous end of the catheter that was placed within the right internal jugular vein, resulting in a large collection in the neck.

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A Case Study of Deep Vein Thrombosis of the Right Internal Jugular Vein in a Healthy 21-Year-Old Male

Case Reports in Hematology ◽

10.1155/2016/7654749 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Javier Corral ◽

Geri Villanueva

Keyword(s):

Deep Vein Thrombosis ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Significant Past Medical History ◽

Vein Thrombosis ◽

The Right ◽

Deep Vein ◽

Work Up

We are reporting a case of a healthy 21-year-old male, with no significant past medical history, who was found to have an incidental nonocclusive deep vein thrombosis in the right internal jugular vein detected on a head MRI previously ordered for work-up of headaches. A follow-up upper extremity venous Doppler ultrasound confirmed the presence of a partially occlusive deep vein thrombosis in the right jugular vein. The case presented is unique for the reason that the patient is young and has no prior risk factor, personal or familial, for venous thrombosis except for associated polycythemia on clinical presentation.

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Glomus Jugulare Tumor Presenting as Deep Vein Thrombosis

American Journal of Sonography ◽

10.25259/ajs-24-2018 ◽

2018 ◽

Vol 1 ◽

pp. 11

Author(s):

Maria Zambrano ◽

Yoon Ko ◽

Vikram S Dogra

Keyword(s):

Deep Vein Thrombosis ◽

Jugular Vein ◽

Filling Defect ◽

Review Of The Literature ◽

Primary Tumors ◽

Glomus Jugulare Tumor ◽

Vein Thrombosis ◽

Glomus Jugulare ◽

The Right ◽

Deep Vein

Intraluminal filling defect and non-compressibility of the vein are diagnostic of a deep vein thrombosis (DVT). However, other etiologies can present with features similar to DVTs; these include tumors extending into the vein and primary tumors arising from the vein such as leiomyosarcoma and hemangioendothelioma. Here, we present a case of an 80-year-old female with a right glomus jugulare tumor (GJT) with extension into the right internal jugular vein mimicking a DVT. This case report presents the sonographic features of GJT presenting as DVT and review of the literature of other tumors that can present in a similar fashion.

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Unexpected Complication of Central Venous Catheter Exchange: Catheter Fragment Migration

Blood Purification ◽

10.1159/000512353 ◽

2020 ◽

pp. 1-6

Author(s):

Pan Xie ◽

Min Tao ◽

Hongwen Zhao ◽

Jun Qiu ◽

Shaohua Li ◽

...

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Vena Cava ◽

Venous Catheter ◽

Central Venous ◽

Catheter Exchange ◽

The Right ◽

Deep Vein ◽

Gooseneck Snare

Tunneled central venous catheter (TCVC) placement is often an easy and uncomplicated procedure. As such, some clinicians pay little attention to the procedure, and different complications occurred. Catheter fragment loss in major vessels is a rare but serious complication of in situ catheter exchange with few reported cases in the literature. Once catheter fragments slip into a deep vein, endovascular retrieval should be attempted, due to its high success rate and minimal associated morbidity. A 37-year-old male patient underwent replacement of his temporary catheter with TCVC through a trans-right-internal-jugular-vein approach for maintenance of dialysis. As a major unintended outcome of the operation, a catheter fragment slipped into the right internal jugular vein, then migrated and lodged in the inferior vena cava. We retrieved it with a gooseneck snare without complications. We report the case hoping to emphasize on and raise awareness of the fact that catheter fragment loss is a completely evitable complication, provided the operator follows the correct safety measures and protocols. However, if catheter fragment loss occurred, the fragment should be retrieved as soon as possible. A gooseneck snare is an ideal option for retrieving catheter fragments that have migrated into deep veins.

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Jugular Venous Catheterization: A Case of Knotting

Case Reports in Medicine ◽

10.1155/2015/810346 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

E. Erkılıç ◽

M. Aksoy ◽

T. Gümüş ◽

S. Sarı ◽

E. Kesimci

Keyword(s):

Central Venous Catheter ◽

Literature Review ◽

Jugular Vein ◽

Venous Catheter ◽

Central Catheter ◽

Drug Infusion ◽

Central Venous ◽

Venous Catheterization ◽

Invasive Method ◽

The Right

A 79-year-old woman, diagnosed for cancer of the ovary, had a central catheter that was placed with difficulty through the right internal jugular vein intraoperatively. After oophorectomy, it was realized that the catheter was knotted. Thus, the central venous catheter was removed successfully using a traction technique in the operating room. Central venous catheter use may result in various complications, although it has been used as an invasive method for hemodynamic monitoring and fluid and drug infusion. Here, we present catheter knotting in a case with solutions for this complication, under literature review.

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Totally implantable venous catheters for chemotherapy: experience in 500 patients

Sao Paulo Medical Journal ◽

10.1590/s1516-31802004000400003 ◽

2004 ◽

Vol 122 (4) ◽

pp. 147-151 ◽

Cited By ~ 40

Author(s):

Nelson Wolosker ◽

Guilherme Yazbek ◽

Kenji Nishinari ◽

Luiz Caetano Malavolta ◽

Marco Antonio Munia ◽

...

Keyword(s):

Late Stage ◽

Jugular Vein ◽

Infectious Complications ◽

External Jugular Vein ◽

Distal Stump ◽

Chemotherapy Treatment ◽

Vein Thrombosis ◽

Oncological Patients ◽

The Right ◽

Deep Vein

CONTEXT: Totally implantable devices are increasingly being utilized for chemotherapy treatment of oncological patients, although few studies have been done in our environment to analyze the results obtained from the implantation and utilization of such catheters. OBJECTIVE: To study the results obtained from the implantation of totally implantable catheters in patients submitted to chemotherapy. TYPE OF STUDY: Prospective. SETTING: Hospital do Câncer A.C. Camargo, São Paulo, Brazil. METHODS: 519 totally implantable catheters were placed in 500 patients submitted to chemotherapy, with preference for the use of the right external jugular vein. Evaluations were made of the early and late-stage complications and patient evolution until removal of the device, death or the end of the treatment. RESULTS: The prospective analysis showed an average duration of 353 days for the catheters. There were 427 (82.2%) catheters with no complications. Among the early complications observed, there were 15 pathway hematomas, 8 cases of thrombophlebitis of the distal stump of the external jugular vein and one case of pocket infection. Among the late-stage complications observed, there were 43 infectious complications (0.23/1000 days of catheter use), 11 obstructions (0.06/1000 days of catheter use) and 14 cases of deep vein thrombosis (0.07/1000 days of catheter use). Removal of 101 catheters was performed: 35 due to complications and 66 upon terminating the treatment. A total of 240 patients died while the catheter was functioning and 178 patients are still making use of the catheter. CONCLUSION: The low rate of complications obtained in this study confirms the safety and convenience of the use of totally implantable accesses in patients undergoing prolonged chemotherapy regimes.

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Diagnosis of Deep Vein Thrombosis by Combination of Doppler Ultrasound Flow Examination and Strain Gauge Plethysmography

Thrombosis and Haemostasis ◽

10.1055/s-0038-1657149 ◽

1982 ◽

Vol 47 (02) ◽

pp. 141-144 ◽

Cited By ~ 7

Author(s):

H Bounameaux ◽

B Krähenbühl ◽

S Vukanovic

Keyword(s):

Deep Vein Thrombosis ◽

Negative Predictive Value ◽

Doppler Ultrasound ◽

Strain Gauge ◽

Predictive Value ◽

Lower Limbs ◽

Vein Thrombosis ◽

Non Invasive ◽

Strain Gauge Plethysmography ◽

Deep Vein

SummaryDoppler ultrasound flow examination, strain gauge plethysmography and contrast venography were performed in 160 lower limbs of 80 in-patients. Deep vein thrombosis (DVT) was suspected in 87 limbs. Using measurement of venous stop-flow pressure, the Doppler method had an overall sensitivity of 83%. By combined use of Doppler and Plethysmography, sensitivity was increased to 96%. Specificity was 62% and 51%, respectively. With a positive and a negative predictive value of 80% and 73%, respectively, the combination of both non-invasive methods cannot reliably replace venography in the diagnosis of DTV, although all (40/40) thromboses proximal to or involving the popliteal segment were detected by either Doppler and Plethysmography or both.After exclusion of 14 patients (18%) suffering from conditions known to alter the results of these non-invasive methods, the positive predictive value of abnormal findings in both Doppler and Plethysmography was increased to 94% for suspected limbs, whilst negative predictive value of both negative Doppler and Plethysmography was 90%, allowing the avoidance of venography in these patients.

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Risk factors determining central venous access device-associated deep vein thrombosis resolution in children: a retrospective study

European Journal of Pediatrics ◽

10.1007/s00431-021-03985-5 ◽

2021 ◽

Author(s):

Miguel García-Boyano ◽

José Manuel Caballero-Caballero ◽

Marta García Fernández de Villalta ◽

Mar Gutiérrez Alvariño ◽

María Jesús Blanco Bañares ◽

...

Keyword(s):

Risk Factors ◽

Deep Vein Thrombosis ◽

Central Venous Access ◽

Venous Access ◽

Central Venous ◽

Central Venous Access Device ◽

Access Device ◽

Vein Thrombosis ◽

Venous Access Device ◽

Deep Vein

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May-Thurner Syndrome Is Aggravated by Pregnancy

Medicina ◽

10.3390/medicina57030222 ◽

2021 ◽

Vol 57 (3) ◽

pp. 222

Author(s):

Kuntharee Traisrisilp ◽

Manatsawee Manopunya ◽

Tanop Srisuwan ◽

Wisit Chankhunaphas ◽

Theera Tongsong

Keyword(s):

Conservative Treatment ◽

Renal Agenesis ◽

Iliac Vein ◽

Vein Thrombosis ◽

Left Lower Extremity ◽

Asymptomatic Patients ◽

Pregnancy And Postpartum ◽

Anticoagulant Prophylaxis ◽

The Right ◽

Deep Vein

This study aims to emphasize that asymptomatic patients with undiagnosed and asymptomatic May-Thurner syndrome (MTS) may firstly develop severe compression during pregnancy. A 40-year-old woman, G1P0, at 22 weeks of twin gestation presented with left lower extremity edema and pain. One twin was structurally normal while the other had bilateral renal agenesis with oligohydramnios. Magnetic resonance venography (MRV) revealed severe compression of the left iliac vein by the right iliac artery without evidence of deep vein thrombosis (DVT). Conservative treatment with anticoagulant prophylaxis was instituted throughout the rest of pregnancy and postpartum period. She was also complicated with severe pre-eclampsia, a cesarean section was performed due to a prolapsed cord at 27 weeks of gestation, and she gave birth to a surviving baby weighing 1100 g. In conclusion, this case report provides evidence that pregnancy can disclose a subtle May-Thurner anatomy to be symptomatic without DVT. Successful pregnancy outcomes could be achieved with conservative treatment and anticoagulant prophylaxis.

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Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report

Journal of International Medical Research ◽

10.1177/0300060518813514 ◽

2018 ◽

Vol 47 (2) ◽

pp. 1005-1009

Author(s):

Taehee Pyeon ◽

Jeong-Yeon Hwang ◽

HyungYoun Gong ◽

Sang-Hyun Kwak ◽

Joungmin Kim

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Present Report ◽

Large Diameter ◽

Venous Catheter ◽

Venous Access ◽

Central Venous ◽

The Right ◽

Gain Access

Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.

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