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BMC Nephrology

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Open Access 01-12-2019 | Arteriovenous Fistula | Case report

Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review

Authors: Huisi He, Bingyang Li, Yiyi Ma, Yuqiang Zhang, Chaoyang Ye, Changlin Mei, Shengqiang Yu, Bing Dai, Yawei Liu

Published in: BMC Nephrology | Issue 1/2019

Abstract

Background

Persistent left superior vena cava (PLSVC) is a common vena cava malformation, and drains blood into the right atrium via the dilated coronary sinus in most cases. It is usually asymptomatic and detected incidentally during invasive procedures or imaging. Whether the hemodialysis catheters can be placed in PLSVC is still controversial now (Stylianou et al. Hemodial Int 11:42-45, 2007).

Case presentation

Here we report a rare case of catheterization through PLSVC in an end-stage renal disease (ESRD) male patient whose PLSVC connected with pulmonary vein with insufficient blood flow eventually. Among the other 28 cases included in the literature review, 16 cases were non-tunneled catheter and 12 cases were cuffed, tunneled catheter and most of them could provide adequate blood flow.

Conclusion

PLSVC is a rare malformation and mostly asymptotic, we believe that PLSVC drains blood into the right atrium with enough inner diameter and blood flow can serve as an alternative site for conventional dialysis access. However, the feasibility of hemodialysis catheterization through it and measures to avoid serious complications are still needed to be discussed.

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Title: Catheterization in a patient with end-stage renal disease through persistent left superior vena cava: a rare case report and literature review
Authors: Huisi He
Bingyang Li
Yiyi Ma
Yuqiang Zhang
Chaoyang Ye
Changlin Mei
Shengqiang Yu
Bing Dai
Yawei Liu
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Arteriovenous Fistula
Arteriovenous Fistula
Published in: BMC Nephrology / Issue 1/2019
Electronic ISSN: 1471-2369
DOI: https://doi.org/10.1186/s12882-019-1339-5

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