Document Detail

Pacemaker Wire Central Venous Stenosis and One More Reason to Not Run Central Venous Catheters for Dialysis in Reverse Flow.
MedLine Citation:
PMID:  22860886     Owner:  NLM     Status:  Publisher    
A 75-year-old man on chronic peritoneal dialysis had unrecognized stenosis of the superior vena cava (SVC) due to pacemaker wires placed 5 years earlier. The patient was placed on hemodialysis after hernia surgery. When a tunneled central venous catheter for dialysis was placed from the right internal jugular (IJ) vein, the venous lumen extended through the stenotic area but not the arterial lumen. Probably due to a subsequent clot at the arterial lumen port the patient developed SVC syndrome and when the catheter was run in the reversed flow direction he developed hypovolemic shock. The stenosis and SVC syndrome resolved with angioplasty of the SVC stenosis, removal of the IJ catheter and use of a femoral vein catheter. The patient eventually returned to peritoneal dialysis and the femoral catheter was removed.
Stephen R Ash; Erika J Ugianskis
Related Documents :
22734456 - Programmable shunt valve affected by exposure to a tablet computer.
20617446 - Combined general and epidural anesthesia for major abdominal surgery in a patient with ...
12963226 - Analysis of pulmonary complications after three-field lymph node dissection for esophag...
25458146 - Mechanical instability of normal and aneurysmal arteries.
18038016 - Chronic peritoneal effusion secondary to partial caudal vena cava obstruction following...
9566416 - Middle cerebral artery main stem thrombosis in two siblings with familial thrombotic th...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-1
Journal Detail:
Title:  Seminars in dialysis     Volume:  -     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Wiley Periodicals, Inc.
Nephrology, Indiana University Health Arnett, and Ash Access Technology, Lafayette, Indiana Interventional Radiology, Indiana University Health Arnett, Lafayette, Indiana.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Weather conditions and daylight-mediated photodynamic therapy - Protoporphyrin IX weighted daylight ...
Next Document:  A Collaborative, Systems-Level Approach to Eliminating Healthcare-Associated MRSA, Central-Line-Asso...