Central Venous Catheter: A Journey Through the Central Vein—Destination Pulmonary Vein!

2007 ◽  
Vol 21 (4) ◽  
pp. 625-626 ◽  
Author(s):  
Hemant Digambar Waikar ◽  
Yoosoof Kamil Mohamed Lahie ◽  
Sinnathurai Narenthiran ◽  
Roshan Rabel
Keyword(s):  
Central Venous Catheter ◽  
Pulmonary Vein ◽  
Venous Catheter ◽  
Central Vein ◽  
Central Venous

scholarly journals Rare Congenital Aberrant Left Superior Pulmonary Vein Discovered with Central Line Placement in a Patient with Critical Cardiorespiratory Collapse

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Spencer Knox ◽  
Mario Madruga ◽  
S. J. Carlan
Keyword(s):  
Central Venous Catheter ◽  
Atrial Septal Defect ◽  
Pulmonary Vein ◽  
Septal Defect ◽  
Venous Catheter ◽  
Innominate Vein ◽  
Significant Variable ◽  
Central Venous ◽  
Left Innominate Vein ◽  
Anomalous Pulmonary Venous Connection

Background. Partial anomalous pulmonary venous connection is a rare congenital vascular disorder that may be asymptomatic. Left-sided connections with the innominate vein are discovered infrequently and those without an atrial septal defect are extremely rare.Case. A 66-year-old male was found to have an anomalous left pulmonary vein when a central venous catheter was inserted for management of hypoxemia. In addition to the connection with the left innominate vein an echocardiogram revealed no atrial septal defect. Computed tomography arteriography was used to define the anomaly.Conclusion. Left superior vein partial anomalous pulmonary venous connection with the left innominate vein was discovered incidentally on insertion of central venous catheter. The otherwise innocuous anomaly can become a significant variable when treating critical cardiopulmonary collapse.

scholarly journals Azygos vein cannulation: recognition is vital for preventing complications

2013 ◽  
Vol 1 (4) ◽  
pp. 41
Author(s):  
Ragesh Panikkath ◽  
Sian Yik Lim ◽  
Deepa Panikkath
Keyword(s):  
Heart Failure ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Azygos Vein ◽  
Central Vein ◽  
Central Venous ◽  
Vein Cannulation ◽  
Vein Access ◽  
Patients With Heart Failure ◽  
Wave Forms

Inadvertent cannulation of the azygos vein can occur during central vein cannulations,especially from the left side. This can cause several complications, including rupture ofthe azygos vein. This complication is unlikely from the more commonly used right internaljugular vein access, although that approach is not free of complications. An abruptcurve at the tip of the central venous catheter showing venous wave forms and highoxygen saturations suggest azygos vein cannulation. Azygos vein cannulations may bemore common in patients with heart failure in which the vein is dilated.

Upper-Extremity Venous Duplex Evaluation

2005 ◽  
Vol 29 (2) ◽  
pp. 79-83
Author(s):  
Kari A. Olmsted
Keyword(s):  
Central Venous Catheter ◽  
Upper Extremity ◽  
Venous Catheter ◽  
Waveform Analysis ◽  
Central Vein ◽  
Venous Obstruction ◽  
Central Venous ◽  
Extrinsic Compression ◽  
Facial Swelling ◽  
Spectral Doppler

As many as 80% of upper-extremity venous thrombosis cases develop in response to an easily identified problem, such as central venous catheter. The remaining 20% of obstructions are caused by other central venous obstruction, trauma, or Paget-Schroetter syndrome. Appropriate clinical indications for upper-extremity venous duplex evaluation include (but are not limited to) unilateral upper-extremity swelling in the presence of indwelling central venous catheter, upper-extremity erythema and tenderness, superficial palpable cord, or facial swelling. Physical examination and thorough patient history compliment the duplex findings to arrive at an accurate diagnosis. The most effective way to determine the presence or absence of thrombosis is with vein wall compressions. However, most of the upper-extremity central vein segments are located beneath bony structures, which prevent extrinsic compression with transducer pressure. Therefore, the spectral Doppler waveform analysis component of the duplex exam becomes crucial in determining venous obstruction. Common technical components and pitfalls include appropriate color and spectral Doppler settings to reliably demonstrate presence/absence of flow or accurate accounting for innominate vein and supraclavicular/infraclavicular subclavian vein versus occluded native anatomy and large patent branches. When properly executed, the aforementioned components comprise a thorough duplex evaluation of the upper extremity venous system.

Late onset of clinically apparent central vein stenosis due to previous central venous catheter in a patient with inherited thrombophilia

2013 ◽  
Vol 18 (2) ◽  
pp. 540-543 ◽  
Author(s):  
Theodoros Eleftheriadis ◽  
Vassilios Liakopoulos ◽  
Georgia Antoniadi ◽  
Georgios Pissas ◽  
Konstantinos Leivaditis ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Late Onset ◽  
Venous Catheter ◽  
Central Vein ◽  
Central Venous ◽  
Inherited Thrombophilia ◽  
Vein Stenosis ◽  
Central Vein Stenosis

scholarly journals Recommended Clinical Trial End Points for Dialysis Catheters

2017 ◽  
Vol 13 (3) ◽  
pp. 495-500 ◽  
Author(s):  
Michael Allon ◽  
Deborah J. Brouwer-Maier ◽  
Kenneth Abreo ◽  
Kevin M. Baskin ◽  
Kay Bregel ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Venous Catheter ◽  
New Drugs ◽  
Central Vein ◽  
Dialysis Session ◽  
Central Venous ◽  
End Points ◽  
Catheter Dysfunction ◽  
Catheter Related Bloodstream Infection

Central venous catheters are used frequently in patients on hemodialysis as a bridge to a permanent vascular access. They are prone to frequent complications, including catheter-related bloodstream infection, catheter dysfunction, and central vein obstruction. There is a compelling need to develop new drugs or devices to prevent central venous catheter complications. We convened a multidisciplinary panel of experts to propose standardized definitions of catheter end points to guide the design of future clinical trials seeking approval from the Food and Drug Administration. Our workgroup suggests diagnosing catheter-related bloodstream infection in catheter-dependent patients on hemodialysis with a clinical suspicion of infection (fever, rigors, altered mental status, or unexplained hypotension), blood cultures growing the same organism from the catheter hub and a peripheral vein (or the dialysis bloodline), and absence of evidence for an alternative source of infection. Catheter dysfunction is defined as the inability of a central venous catheter to (1) complete a single dialysis session without triggering recurrent pressure alarms or (2) reproducibly deliver a mean dialysis blood flow of >300 ml/min (with arterial and venous pressures being within the hemodialysis unit parameters) on two consecutive dialysis sessions or provide a Kt/V≥1.2 in 4 hours or less. Catheter dysfunction is defined only if it persists, despite attempts to reposition the patient, reverse the arterial and venous lines, or forcefully flush the catheter. Central vein obstruction is suspected in patients with >70% stenosis of a central vein by contrast venography or the equivalent, ipsilateral upper extremity edema, and an existing or prior history of a central venous catheter. There is some uncertainty about the specific criteria for these diagnoses, and the workgroup has also proposed future high-priority studies to resolve these questions.

Central venous catheter malposition into pulmonary vein: an unusual cause of epileptic seizures

2015 ◽  
Vol 42 (1) ◽  
pp. 113-114
Author(s):  
Miguel A. Hernández-Hernández ◽  
José L. Fernández-Torre ◽  
María S. Holanda-Peña ◽  
Marta Cabello
Keyword(s):  
Central Venous Catheter ◽  
Pulmonary Vein ◽  
Epileptic Seizures ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Malposition

Pulmonary Vein Catheterization—An Unexpected Location of a Central Venous Catheter Placement

1984 ◽  
Vol 60 (6) ◽  
pp. 616-616 ◽  
Author(s):  
M. FISCHLER ◽  
J. P. TRITZ ◽  
J. M. VURPILLAT ◽  
P. RONGIER ◽  
G. VOURC'H
Keyword(s):  
Central Venous Catheter ◽  
Pulmonary Vein ◽  
Venous Catheter ◽  
Catheter Placement ◽  
Central Venous ◽  
Central Venous Catheter Placement ◽  
Vein Catheterization
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