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Updated: Aug 11, 2026
04:34
Mouse Complete Stasis Model of Inferior Vena Cava Thrombosis
Published on: June 15, 2011
[Superior vena cava syndrome due to hemothorax]
A Bourvine1, I Y Shemesh, M Khateeb
1Intensive Care Unit, Brazilai Medical Center, Ashkelon.
Harefuah
|February 1, 1991
Summary
A patient developed acute superior vena cava syndrome after chest artery puncture during hemodialysis. Bedside venography quickly diagnosed the obstruction, enabling prompt surgical treatment.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Nephrology
Background:
- Chronic uremia necessitates hemodialysis, often requiring central venous access.
- Subclavian vein cannulation is a common procedure for hemodialysis access.
- Complications such as arterial puncture can lead to significant bleeding and hematoma formation.
Observation:
- A 40-year-old male undergoing hemodialysis experienced an arterial puncture during subclavian vein cannulation.
- Rapid development of acute superior vena cava syndrome occurred due to a large compressing hematoma.
- Initial interventions, including intercostal drainage, were insufficient to resolve the syndrome.
Findings:
- Bedside, one-shot venography accurately diagnosed and localized the vascular obstruction.
- The venographic findings guided a targeted surgical intervention.
- Successful management of the acute superior vena cava syndrome was achieved.
Implications:
- Emphasizes the utility of point-of-care imaging like venography in managing vascular access complications.
- Highlights the potential for rapid onset of superior vena cava syndrome following central venous procedures.
- Underscores the importance of timely diagnosis and intervention for life-threatening vascular emergencies.
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