Journal of Cardio-Thoracic Medicine

Journal of Cardio-Thoracic Medicine

Conservative management of superior vena cava injury due to hemodialysis catheter placement: A case report and literature review

Document Type : Case Report

Authors
Mohammad Mozafar 1
Seyed Masoud Hosseini 1
Fuad Majidi 1
Sina Zarrintan 2
1 Division of Vascular & Endovascular Surgery, Department of General & Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 General Surgeon, Department of General & Vascular Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
10.22038/jctm.2019.44004.1249
Abstract
We reported the case of a 78-year old woman with the inadvertent superior vena cava injury resulting from hemodialysis catheter placement. The catheter was placed through the left internal jugular vein. Hemodynamics were stable. The initial chest film illustrated an extraluminal catheter and mediastinal widening. The patient did not have hemothorax. Computed tomography venography also confirmed the extraluminal position. The catheter was removed at the operating room, and the case was conservatively managed
Keywords
Superior vena cava
Hemodialysis
Internal jugular vein
  1. Woo K, Rowe VL. Hemodialysis access: dialysis catheters. In: Sidawy AN, Perler BA, editors. Rutherford’s vascular surgery and endovascular therapy. 9th ed. Philadelphia, PA: Elsevier; 2019. P. 2315-23.
  2. Barton BR, Hermann G, Weil R 3rd. cardiothoracic emergencies associated with subclavian hemodialysis catheters. JAMA. 1983; 250:2660-2.
  3. Rodríguez J, Bárcena M, Alvarez J. Acute contralateral hemothorax after cannulation of the left subclavian vein for hemodialysis. Rev Esp Anestesiol Reanim. 2002; 49:428-31.
  4. 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; 9:341-3.
  5. 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; 46:569-71.
  6. Kabutey NK, Rastogi N, Kim D. Conservative management of iatrogenic superior vena cava (SVC) perforation after attempted dialysis catheter placement: case report and literature review. Clin Imaging. 2013; 37:1138-41.
  7. Turkyilmaz A, Karapolat S, Kilic M, Tekinbas C. The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter. Vasc Endovascular Surg. 2017 Feb;51(2):95-97.
  8. Kappes S, Towne J, Adams M, Kauffman HM, Maierhofer W. Perforation of the superior vena cava. A complication of subclavian dialysis. JAMA. 1983; 249:2232-3.
  9. Carbone K, Gimenez LF, Rogers WH, Watson AJ. Hemothorax due to vena caval erosion by a subclavian dual-lumen dialysis catheter. South Med J. 1987; 80:795-6.
  10. Salahudeen AK, Pingle A. Perforation of superior vena cava by subclavian haemodialysis access cannula--a preventable complication? Nephrol Dial Transplant. 1988; 3:354-5.
  11. 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 Taiwan 2009; 47:95-8.
  12. Kuzniec S, Natal SR, Werebe Ede C, Wolosker N. Videothoracoscopic-guided management of a central vein perforation during hemodialysis catheter placement. J Vasc Surg. 2010; 52:1354-6.
  13. Tawfic QA, Bhakta P, Mohammed AK, Sharma J. Subclavian vein injury and massive hemothorax requiring thoracotomy following insertion of tunneled dialysis catheter--a case report and review of literature. Middle East J Anaesthesiol. 2010; 20:861-4.
  14. Iwańczuk W, Guźniczak P, Kasperczak J. Hemothorax as a complication of subclavian vein cannulation with haemodialysis catheter - case report. Anaesthesiol Intensive Ther. 2013; 45:89-92.
  15. Kurabe K, Kojima T, Kato Y, Saito I, Kobayashi T. Impact of orthognathic surgery on oral health-related quality of life in patients with jaw deformities. Int J Oral Maxillofac Surg. 2016; 45:1513-9.
  16. Turkyilmaz A, Karapolat S, Kilic M, Tekinbas C. The perforation of the superior vena cava secondary to the left subclavian dialysis catheter. Vasc Endovascular Surg. 2017; 51:95-97.

 

Journal of Cardio-Thoracic Medicine
Volume 7, Issue 4
Autumn 2019
Pages 547-553