Document Detail

Tunneled-cuffed catheter implanted into the accessory hemiazygos vein because of occlusion of the left innominate vein.
MedLine Citation:
PMID:  22099255     Owner:  NLM     Status:  Publisher    
Hemodialyzed patients are at risk of multiple catheterizations. Nephrologists performing such procedures need to be familiar with congenital and acquired vascular abnormalities. We describe a successful insertion and use of a cuffed-tunneled catheter in a patient with unusual anatomy of the central venous system. Computed tomography angiography revealed thrombosis of the right subclavian vein and bilateral occlusion of innominate veins. The left internal jugular and subclavian veins joined to form a large vessel that drained through the accessory hemiazygos and azygos veins into the superior vena cava. The catheter was implanted through the left internal jugular vein into the accessory hemiazygos vein. The presented case demonstrates that the catheter can be implanted into distended collateral, especially when no other location is possible.
Krzysztof Letachowicz; Marian Kołodziej; Krzysztof Międzybrodzki; Waldemar Letachowicz; Wacław Weyde; Marek Sąsiadek; Marian Klinger
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-10
Journal Detail:
Title:  Hemodialysis international. International Symposium on Home Hemodialysis     Volume:  -     ISSN:  1542-4758     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101093910     Medline TA:  Hemodial Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors; Hemodialysis International © 2011 International Society for Hemodialysis.
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.
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