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Perforation of Superior Vena Cava with Dialysis Catheter Insertion

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Abstract

Procedure related complications associted with a tunneled dialysis catheter placement can vary a great deal in their consequences. One that is especially dangerous is perforation of the veion. This can occur without consequences or it can result in the death of the patient. This chapter discusses a case of intermediate severity.

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References

  1. Wicky S, Meuwly JY, Doenz F, Uske A, Schnyder P, Denys A. Life-threatening vascular complications after central venous catheter placement. Eur Radiol. 2002;12(4):901–7.

    Article  CAS  PubMed  Google Scholar 

  2. Schummer W, Schummer C, Fritz H. Perforation of the superior vena cava due to unrecognized stenosis. Case report of a lethal complication of central venous catheterization. Anaesthesist. 2001;50(10):772–7.

    Article  CAS  PubMed  Google Scholar 

  3. Jankovic Z, Boon A, Prasad R. Fatal haemothorax following large-bore percutaneous cannulation before liver transplantation. Br J Anaesth. 2005;95(4):472–6.

    Article  CAS  PubMed  Google Scholar 

  4. Wadelek J, Drobinski D, Szewczyk P, Abbas F, Franczyk M, Niewinska M, et al. Perforation of the internal jugular vein during cannulation for haemodialysis. Anestezjol Intens Ter. 2009;41(2):110–3.

    PubMed  Google Scholar 

  5. Jost K, Leithauser M, Grosse-Thie C, Bartolomaeus A, Hilgendorf I, Andree H, et al. Perforation of the superior vena cava - a rare complication of central venous catheters. Onkologie. 2008;31(5):262–4.

    Article  PubMed  Google Scholar 

  6. Ko SF, Ng SH, Fang FM, Wan YL, Hsieh MJ, Liu PP, et al. Left brachiocephalic vein perforation: computed tomographic features and treatment considerations. Am J Emerg Med. 2007;25(9):1051–6.

    Article  PubMed  Google Scholar 

  7. Bayer O, Schummer C, Richter K, Frober R, Schummer W. Implication of the anatomy of the pericardial reflection on positioning of central venous catheters. J Cardiothorac Vasc Anesth. 2006;20(6):777–80.

    Article  PubMed  Google Scholar 

  8. Wang CY, Liu K, Chia YY, Chen CH. Bedside ultrasonic detection of massive hemothorax due to superior vena cava perforation after hemodialysis catheter insertion. Acta Anaesthesiol Taiwanica. 2009;47(2):95–8.

    Article  Google Scholar 

  9. Elwali A, Drissi M, Bensghir M, Ahtil R, Azendour H, Kamili ND. Fatal evolution of a left brachio-cephalic vein perforation by a catheter for hemodialysis. Nephrol Ther. 2011;7(7):562–4.

    Article  PubMed  Google Scholar 

  10. Robinson JF, Robinson WA, Cohn A, Garg K, Armstrong 2nd JD. Perforation of the great vessels during central venous line placement. Arch Intern Med. 1995;155(11):1225–8.

    Google Scholar 

  11. Florescu MC, Mousa A, Salifu M, Friedman EA. Accidental extravascular insertion of a subclavian hemodialysis catheter is signaled by nonvisualization of catheter tip. Hemodial Int. 2005;9(4):341–3.

    Article  PubMed  Google Scholar 

  12. Azizzadeh A, Pham MT, Estrera AL, Coogan SM, Safi HJ. Endovascular repair of an iatrogenic superior vena caval injury: a case report. J Vasc Surg. 2007;46(3):569–71.

    Article  PubMed  Google Scholar 

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Correspondence to Gerald A. Beathard MD, PhD .

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Beathard, G.A. (2017). Perforation of Superior Vena Cava with Dialysis Catheter Insertion. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_39

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  • DOI: https://doi.org/10.1007/978-3-319-57500-1_39

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57498-1

  • Online ISBN: 978-3-319-57500-1

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