A Case of Superior Vena Cava Syndrome Due to Catheterization of the Internal Jugular Vein for Hemodialysis.
- Author:
Uk Hyun KIL
1
;
Ho Cheol SONG
;
Jung Sun PACK
;
Jin Su KIM
;
Keun Jong CHO
;
Jee In LEE
;
Yoo Jung NAHM
;
Euy Jin CHOI
;
Yoon Sik CHANG
Author Information
1. Department of Internal Medicine, Holy Family Hospital, The Catholic University of Korea, Seoul, Korea. mdsonghc@Yahoo.com
- Publication Type:Case Report
- Keywords:
Internal jugular vein catheter;
Superior vena cava syndrome;
Central vein stenosis
- MeSH:
Angioplasty, Balloon;
Arm;
Brachiocephalic Veins;
Catheterization*;
Catheters*;
Central Venous Catheters;
Collateral Circulation;
Constriction, Pathologic;
Humans;
Incidence;
Jugular Veins*;
Phlebography;
Renal Dialysis*;
Stents;
Subclavian Vein;
Superior Vena Cava Syndrome*;
Veins;
Vena Cava, Superior*
- From:Korean Journal of Nephrology
2004;23(2):349-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Most cases of superior vena cava (SVC) syndrome are secondary to malignant disease and subacute in their presentation. However, the exponential increase in use of indwelling central venous catheters and cardiac pacemakers over the last two decades has resulted in more patients with SVC syndrome. Internal jugular vein cannulation has become the preferred approach for temporary hemodialysis catheter placement following the reports of an increased incidence of subclavian vein stenosis due to subclavian vein catheterization. We describe a patient who developed SVC syndrome after internal jugular vein catheterization. The patient had been swollen the left arm intermittently due to left central vein stenosis for 1 year and experienced balloon angioplasty and stent insertion for three times. We diagnosed the SVC syndrome through the both subclavian venography, which revealed complete obstruction of the left brachiocephalic vein with extensive collateral circulation and mild stenosis of the distal right internal jugular vein. Resolution of the clinical SVC sydrome occurred after catheter removal.
