Hyperacute Superior Vena Cava Syndrome associated with Central Venous Catheter Insertion
Autor: | Stefan Edginton, Adam Fundytus |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Dialysis catheter Case Report Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Superior vena cava stenosis Superior vena cava medicine Superior Vena Cava Stenosis Superior vena cava syndrome business.industry 030208 emergency & critical care medicine medicine.disease Thrombosis Central venous catheters Surgery Critical care Stenosis 030228 respiratory system cardiovascular system medicine.symptom Complication business Central venous catheter |
Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
ISSN: | 1998-359X 0972-5229 |
DOI: | 10.5005/jp-journals-10071-23140 |
Popis: | Superior vena cava (SVC) syndrome is classically thought of as a complication of malignancy. However, SVC syndrome secondary to indwelling central venous catheters (CVCs) is another important entity. Amongst those with CVCs who develop SVC syndrome, the majority are attributed to thrombosis. Aside from thrombosis, CVCs can lead to SVC syndrome secondary to mechanical obstruction of blood flow in an already narrowed vessel. We present the first case of hyperacute SVC syndrome that developed within 6 hours of insertion of a CVC into a patient's right internal jugular vein alongside a pre-existing right internal jugular tunnelled dialysis line. With removal of the line, the patient's symptoms resolved completely within hours. The patient also was found to have stenosis of superior vena cava, likely secondary to multiple instrumentations. Physicians must be diligent to monitor for this complication in patients who have had previous instrumentations of major vessels when inserting CVCs. How to cite this article Edginton S, Fundytus A. Hyperacute Superior Vena Cava Syndrome associated with Central Venous Catheter Insertion. Indian J Crit Care Med 2019;23(3):152-154. |
Databáze: | OpenAIRE |
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