Abstract
Frequent use of central venous cannulations and dialysis catheters has led to increased complications like venous thrombosis and catheter-related sepsis. Superior vena cava subclavian obstruction secondary to extensive thrombosis of the central veins and internal jugular veins is presented. The risk factors, diagnostic modalities, and treatment options are discussed.
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Falk RL, Smith DF: Thrombosis of upper extremity thoracic inlet veins: diagnosis with duplex doppler sonography. Am J Roentgenol 1987;149:677–682.
Druy EM, Trout HH, Giordanao JM, Hix WH: Lytic therapy in the treatment of axillary and subclavian vein thrombosis. J Vasc Surg 1985;2:821–827.
Timsit J-F, Farkas JC, Boyer JM, et al. Central vein catheter-related thrombosis in intensive care patients: incidence, risk factors and relationship with catheter-related sepsis. Chest 1998;114:207–213.
Connors AF, Castele RJ, Farhat NZ, et al. Complication of right heart caterterization: a prospective autopsy study. Chest 1985; 88:567–572
Kee St, Kinoshita L, Razavi MK, Nyman UR, Semba CP, Dake MD. Superior vena cava syndrome: treatment with catheter-directed thrombolysis and endovascular stent placement. Radiology 1998; 206:187–193.
Boraks P, Seale J, Price J, et al. Prevention of central venous catheter associated thrombosis using minidose warfarin in patients with haemoatological malignancies. Br J Haematol 1998;101(3):483–486.
Bern MM, Lockich JJ, Wallach SR, et al. Very low doses of warfarin can prevent thrombosis in central venous catheters. A randomized prospective trial. Ann Intern Med 1990;112(6):423–428.
Unver S, Atasoyu EM, Evrenkaya TR, et al. Vena cava superior syndrome developing in a dialysis patient with antithrombin III deficiency following temporary catheterization. Clin Nephrol 2006;65(1):71–74.
Oymak FS, Buyukoglan H, Tokgoz B, et al. Prevalence of thromboembolic disease including superior vena cava and brachiocephalic veins. Clin Appl Thromb Hemost 2005;11(2):183–189.
Aburahma AF, Sadler DL, Robinson PA. Axillary subclavian vein thrombosis: changing patterns of etiology, diagnostic and therapeutic modalities. Am Surg 1991;57:101–107.
Warden GD, Willmore DW, Pruitt DA. Central venous thrombosis: a hazard of medical progress. J Trauma 1973;13:620–625.
Lange HW, Galliani CA, Edwards JE: Local complications associated with indwelling Swan-ganz catheters: autopsy study of 36 cases. Am J Cardiol 1983;52:1108–1111.
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The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices.
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Ansari, M.J., Syed, A., Wongba, W. et al. Superior vena cava obstruction presenting as a complication of repeated central venous cannulations. Compr Ther 32, 189–191 (2006). https://doi.org/10.1007/s12019-006-0011-8
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DOI: https://doi.org/10.1007/s12019-006-0011-8