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Hemodialysis through persistent left superior vena cava.

V B Kute¹, A V Vanikar, M R Gumber

¹Department of Nephrology and Clinical Transplantation, Transfusion Services and Immunohematology, Institute of Kidney Diseases and Research Center, Dr. H. L. Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine

|June 3, 2011

Summary

This summary is machine-generated.

A rare persistent left superior vena cava (PLSVC) anomaly was found in an end-stage renal disease patient after hemodialysis catheter placement. The PLSVC did not impede hemodialysis, highlighting the need for physician awareness of this vascular variation.

Keywords:

Hemodialysis hemodialysis catheter persistent left superior vena cava

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Area of Science:

Cardiology
Nephrology
Vascular Surgery

Background:

End-stage renal disease (ESRD) necessitates vascular access for hemodialysis (HD).
Central venous catheters are commonly used for temporary HD access.
Anatomical variations can complicate central venous catheter placement and function.

Observation:

A patient with ESRD developed a persistent left superior vena cava (PLSVC) after left internal jugular vein catheterization for HD.
The PLSVC anomaly was identified on a routine post-procedure chest X-ray.
Diagnostic confirmation included arterial blood gas, echocardiography, CT thorax, and angiography.

Findings:

The PLSVC was a rare congenital vascular anomaly.
Hemodialysis was successfully and uneventfully performed for two months using the left-sided catheter in the presence of PLSVC.
Continuous monitoring was employed during the HD sessions.

Implications:

Physicians performing central venous catheter placement, particularly in the left jugular or subclavian veins, must be aware of the potential for PLSVC.
This case suggests that HD can be safely performed in patients with PLSVC with careful monitoring.
Further studies are warranted to establish definitive safety guidelines for HD in patients with PLSVC.