Document Detail


Peripherally inserted central catheter malposition in a persistent left superior vena cava.
MedLine Citation:
PMID:  15118457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the superior vena cava system. Left superior vena cava exists in early embryonic development, but this vessel degenerates as the cardiovascular system matures. Failure of this process to occur results in PLSVC. If not associated with other cardiac malformations, PLSVC has no clinical signs or symptoms. This article discusses a case of PLSVC diagnosed after placement of two peripherally inserted central venous catheters that appeared to malposition outside the central circulation. After unsuccessful bedside placement of the two catheters, the patient was referred to interventional radiology for placement of a Hickman catheter. A contrast injection study showed the presence of a PLSVC with the absence of a normal right superior vena cava. The tip of the peripherally inserted central venous catheter was found to be at a satisfactory location within the PLSVC.
Authors:
Patricia A Kamola; Douglas L Seidner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of infusion nursing : the official publication of the Infusion Nurses Society     Volume:  27     ISSN:  1533-1458     ISO Abbreviation:  J Infus Nurs     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-04-30     Completed Date:  2004-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101124170     Medline TA:  J Infus Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  N    
Affiliation:
The Cleveland Clinic Foundation, Cleveland Ohio 44195, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / administration & dosage
Catheterization, Central Venous / instrumentation,  methods*
Cellulitis / drug therapy
Humans
Male
Vena Cava, Superior / abnormalities*,  radiography
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


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