scholarly journals Pneumorrhachis Resulting in Transient Paresis after PICC Line Insertion into the Ascending Lumbar Vein

Cureus ◽  
2016 ◽  
Author(s):  
Russell Payne ◽  
Emily P Sieg ◽  
Arabinda Choudhary ◽  
Mark Iantosca
Keyword(s):  
Line Insertion ◽  
Lumbar Vein ◽  
Picc Line ◽  
Ascending Lumbar Vein

Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein mimicking a retroperitoneal lymphadenopathy: A case report

2020 ◽  
Vol 16 ◽  
Author(s):  
Sevtap Arslan ◽  
Yasin Sarıkaya ◽  
Musturay Karcaaltincaba ◽  
Ali Devrim Karaosmanoglu
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Testicular Cancer ◽  
Renal Vein ◽  
Medical Center ◽  
Left Renal Vein ◽  
Severe Bleeding ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein ◽  
Communicating Vein

Introduction: Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein is extremely rare with only anecdotal reported cases. Unless detected and recognized promptly, this rare condition may give rise to severe bleeding in patients undergoing retroperitoneal surgery. It may also closely mimic enlarged retroperitoneal lymph nodes, paragangliomas, adrenal masses, or renal artery aneurysms. Case report: In this case study, we reported the imaging findings of this rare entity which was falsely diagnosed as enlarged retroperitoneal lymph node in an outside medical center, reported as to be consistent with metastatic disease, in a patient with newly diagnosed testicular cancer. Conclusion: The aneurysm of the communicating vein should be considered in the differential diagnosis in patients with testicular cancer and other disease processes where lymph nodes are commonly affected.

Pericardial Effusion as a Complication of PICC Line Insertion

2021 ◽  
pp. 097321792110076
Author(s):  
Abdah Hrfi ◽  
Mohammed H.A. Mohammed ◽  
Omar Tamimi
Keyword(s):  
Birth Weight ◽  
Pericardial Effusion ◽  
Metabolic Diseases ◽  
Neonatal Period ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Preterm Baby ◽  
Line Insertion ◽  
Uncommon Condition ◽  
Picc Line

Cardiac tamponade as a result of pericardial effusion (PE) is a serious uncommon condition in the neonatal period. PE in such cases could be associated with hydrops fetalis, neonatal sepsis, metabolic diseases, or as a complication of percutaneous indwelling central catheter. 1 We are reporting a preterm baby, with low birth weight who developed large PE as a complication of total parenteral nutrition via a peripherally inserted central catheter, managed successfully with pericardiocentesis.

Poster 218: Musculocutaneous Neuropathy Due to PICC Line Insertion: A Case Report

PM&R ◽  
2017 ◽  
Vol 9 ◽  
pp. S202-S202
Author(s):  
Maria Janakos ◽  
David Haustein ◽  
Preeti Panchang
Keyword(s):  
Case Report ◽  
Line Insertion ◽  
Picc Line

Inadvertent Catheterization of the Ascending Lumbar Vein

2009 ◽  
Vol 28 (3) ◽  
pp. 179-183 ◽  
Author(s):  
Carol Trotter
Keyword(s):  
Contrast Material ◽  
Spinal Column ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Contrast Injection ◽  
Venous Plexus ◽  
Central Venous ◽  
X Ray ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein

A NUMBER OF SERIOUS COMPLICATIONS can arise from malpositioned central venous catheters (CVCs), including cardiac tamponade and perforation, pleural effusions, and infusion into the vertebral venous system anywhere along the spinal column. Figure 1 is an x-ray of a premature infant taken after insertion of a 2.0 Silastic peripherally inserted central catheter (PICC), demonstrating the catheter entering the left ascending lumbar vein (ALV). Routine contrast injection of 0.3 mL of iothalamate meglumine 60 percent (Conray, Covidien Imaging Solutions, Hazelwood, Missouri) at the time of the PICC-placement film demonstrated that the contrast material extended into the vertebral venous plexus. The catheter was immediately withdrawn before intravenous fluid was administered, and the infant experienced no complications.

Accidental Cannulation of the Left Ascending Lumbar Vein Through Femoral Access—Still Often Unrecognized

ASAIO Journal ◽  
2012 ◽  
Vol 58 (4) ◽  
pp. 435-437 ◽  
Author(s):  
Ivan Göcze ◽  
Rene Müller-Wille ◽  
Christian Stroszczynski ◽  
Hans J. Schlitt ◽  
Thomas Bein
Keyword(s):  
Femoral Access ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein

A Retrospective Review of Peripherally Inserted Central Catheters and Upper Extremity Deep Venous Thrombosis in Persons with Cervical Spinal Cord Injuries

2008 ◽  
Vol 13 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Donna Loupus ◽  
Susan Schuetrumpf ◽  
Laura F. Vazquez
Keyword(s):  
Spinal Cord ◽  
Venous Thrombosis ◽  
Upper Extremity ◽  
Prospective Studies ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Peripherally Inserted Central Catheters ◽  
Line Insertion ◽  
Picc Line ◽  
Central Catheters

Abstract Introduction: Peripherally Inserted Central Catheters (PICCs) are a proven and cost effective alternative to traditional short term central venous catheters inserted via subclavian or jugular vein routes. It has been theorized that persons with cervical spinal cord injury (SCI) are more prone to upper extremity deep venous thrombosis (DVT) post PICC insertion. Purpose: This study was conducted to determine if there is a statistically significant increase in the incidence of PICC-related upper extremity thrombosis in persons with quadriplegia as compared to other patient populations. Methods: A retrospective chart review of 56 PICC insertions, performed on 44 patients, was conducted to identify risk factors associated with symptomatic upper extremity DVTs. Results: The overall incidence of symptomatic DVTs was 7.1% per PICC line insertion (95% CI 2.8% - 17.0%) and 9.1% per patient (95% CI 3.6% - 21.2%) and the number of DVTs per 1,000 catheter days was 3.14. DVT diagnosis was not significantly associated with any of the patient or PICC-related characteristics examined. The incidence of symptomatic DVTs per PICC line insertion was not significantly different than the lowest incidence of thrombosis reported in the scientific literature among all patients receiving PICCs. Conclusions: Results from this study do not suggest that persons with cervical spinal cord injuries are at increased risk for developing upper-extremity DVTs related to PICC insertion. Due to the retrospective nature of the present study and small sample size, prospective studies are recommended to further examine DVTs in patients' with spinal cord injuries. Estimates from the present study can be used in planning prospective studies.

The left ascending lumbar vein: A potential pitfall in CT diagnosis

1988 ◽  
Vol 39 (5) ◽  
pp. 565-566 ◽  
Author(s):  
C.I. Meanock ◽  
C.S. Ward ◽  
M.P. Williams
Keyword(s):  
Ct Diagnosis ◽  
Potential Pitfall ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein

scholarly journals Two cases of extracorporeal membrane oxygenation catheter misplacement in the ascending lumbar vein

2012 ◽  
Vol 19 (3) ◽  
pp. 367-370 ◽  
Author(s):  
Nobuya Harayama ◽  
Yasuki Isa ◽  
Hideaki Arai ◽  
Keiji Nagata ◽  
Takafumi Sinjou ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Membrane Oxygenation ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein

Abstract TP277: Stroke Related Limb Weakness Confers Thrombotic Complications With PICC Lines

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Mohammad Ibrahim ◽  
Ravjot Sodhi ◽  
Aaron Nizam ◽  
Nabiha Khakoo ◽  
Siddhart Mehta ◽  
...  
Keyword(s):  
Predictive Value ◽  
Small Sample Size ◽  
Subsequent Development ◽  
Small Sample ◽  
Stroke Patients ◽  
Dvt Prophylaxis ◽  
Line Placement ◽  
Line Insertion ◽  
Increased Risk ◽  
Picc Line

Introduction: A peripherally inserted central catheter (PICC line) is a form of intravenous access that can be used for a prolonged period, which lowers the rate of infection. Our study aims to prove that PICC line insertion predicts a higher rate of Deep Vein Thrombosis (DVT), especially in those receiving the PICC line in a weaker arm. Methods: We conducted a retrospective analysis of stroke patients admitted to NeuroICU between September 2010 and October 2011 at a community teaching hospital. Patient records were evaluated for PICC line placement, DVT, Pulmonary Embolism (PE) development, and anticoagulant status. Odds ratios were calculated for the development of DVT and PE for PICC patients, as well as the outcomes for PICC line patients based on arm strength as defined with motor strength scale using SPSS software version 20. Results: The study included a total of 307 patients (mean age = 62.5 +/- 17.2, 51% female). Ninety-nine patients had a PICC line inserted, 22 of which developed DVT, including 10 patients who appeared to have PICC Line Related Large Venous Thrombosis. The presence of a PICC line conferred an increased risk (OR= 5.18, 95% CI, 2.40-11.2) for the development of a DVT. Patients who had a PICC line placed in a weaker arm (mean strength = 2.17) were more likely to develop a DVT than patients with a PICC line in a stronger arm (mean strength = 3.07) p<0.05. Patients given DVT prophylaxis were less likely to develop a DVT (OR = 0.32, 95% CI, .004 - .252) p < 0.05. Twenty-one patients had a CT chest angiogram performed, including six patients who had evidence of a PE. Of these six patients, one patient had a PICC line placement with subsequent development of DVT followed by PE. PICC line placement and DVT had no predictive value on the development of PE due to the small sample size. Conclusions: Our data suggests that patients who had a PICC line placed into a weaker strength arm had an increased risk of DVT in the same arm and that DVT prophylaxis significantly decreases this risk. Further studies should evaluate the predictive value of PICC line insertion with the risk of developing PE in stroke patients.

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