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VOLUME 15 , ISSUE 1 ( January, 2011 ) > List of Articles

CASE REPORT

Hemodialysis through persistent left superior vena cava

Vivek B. Kute, A.V. Vanikar, M.R. Gumber, P.R. Shah, K.R. Goplani, H.L. Trivedi

Keywords : Hemodialysis, hemodialysis catheter, persistent left superior vena cava

Citation Information : Kute VB, Vanikar A, Gumber M, Shah P, Goplani K, Trivedi H. Hemodialysis through persistent left superior vena cava. Indian J Crit Care Med 2011; 15 (1):40-42.

DOI: 10.4103/0972-5229.78223

License: CC BY-ND 3.0

Published Online: 00-01-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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