2 research outputs found
Hemodialysis through persistent left superior vena cava
We report a case of end stage renal disease patient who displayed a
persistent left superior vena cava (PLSVC) after placement of
hemodialysis (HD) catheter through left internal jugular vein, as
revealed by routine post-procedure X-ray chest. The diagnosis of PLSVC
was confirmed by arterial blood gas, two-dimensional echocardiography,
computed tomography thorax and angiographic examination. This anomaly
is rather rare; few studies on safety of PLSVC for HD have been
reported. The catheter was uneventfully used for HD for 2 months with
careful continuous monitoring and removed after arteriovenous fistula
was successfully cannulated. Physicians who place HD catheters in the
left jugular/subclavian vein should be aware of the existence of PLSVC