Related Experiment Video
Updated: Aug 27, 2025
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
19.4K
Accidental venous port placement via the persistent left superior vena cava: Two case reports
Rui-Na Zhou1, Xiao-Bin Ma1, Li Wang1
1Department of Oncology, The Second Affiliated Hospital of Xi'an Jiao Tong University, Xi'an 710004, Shaanxi Province, China.
World Journal of Clinical Cases
|October 3, 2022
Summary
Implantable venous access ports (IVAP) can be safely placed in breast cancer patients with persistent left superior vena cava (PLSVC). Ultrasound guidance ensures proper placement and avoids complications during chemotherapy.
Area of Science:
- Vascular Surgery
- Oncology
- Medical Imaging
Background:
- Breast cancer necessitates treatments like chemotherapy, often requiring IVAP for venous access.
- Venous malformations, such as persistent left superior vena cava (PLSVC), can complicate IVAP implantation.
- PLSVC is a common anomaly, frequently asymptomatic, but requires careful consideration during venous access procedures.
Observation:
- Two breast cancer patients with PLSVC undergoing IVAP implantation via the internal jugular vein were incidentally identified.
- Ultrasound guidance was utilized for successful IVAP placement in both patients.
- Post-operative chest X-rays confirmed appropriate catheter positioning, and ultrasonography indicated a PORT to PLSVC diameter ratio < 0.45.
Findings:
- Both patients experienced no catheter-related complications and completed their chemotherapy regimens successfully.
- The observed PORT to PLSVC diameter ratio adhered to established literature recommendations and guidelines.
- Ultrasound-guided IVAP placement in the presence of PLSVC is feasible and safe.
Implications:
- Accurate assessment of PLSVC is crucial for safe IVAP implantation in breast cancer patients.
- Ultrasound-guided IVAP placement can mitigate risks associated with venous malformations.
- This approach supports the successful delivery of chemotherapy in patients with PLSVC, improving treatment outcomes.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
18
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
18
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
28
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
28
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
277
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
277
01:30Venous Thrombosis IV: Nursing Management
19
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
19
01:11Overview of Systemic Veins
664
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
664
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
24
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
24