BRACHIOCEPHALIC VEIN OCCLUSION PRESENTING AS SVC SYNDROME

TOPIC: Critical Care TYPE: Fellow Case Reports INTRODUCTION: Malignancy is the most common cause of superior vena cava (SVC) syndrome. The incidence SVC syndrome arising from benign etiologies increasing and accounts for 35% cases [1]. End stage renal disease patient population with increased use intravascular catheters, contribute importantly to this phenomenon. We describe a hemodialysis who presented symptoms after placement left sided dialysis catheter. CASE PRESENTATION: 53 years old female (ESRD) on was transferred outside hospital chief complaint clotting AV fistula. Patient did not have any at point new internal jugular catheter placed because had chronic occlusion right vein ultrasound. Six days later, started develop facial eye swelling. She mild shortness breath moved Intensive care unit. CT scan chest contrast revealed brachiocephalic which effectively same diameter as located within it. also subclavian vein. Dialysis removed improvement in her one day. DISCUSSION: Stenosis or central veins patients common, especially previous device use. Clinical features can be subtle dramatic, including swelling breath, require expeditious attention intervention. approach involves judicious imaging techniques define location. Early management endovascular intervention angioplasty stent usual first choice. CONCLUSIONS: prevented by minimizing shortest amount time possible. Physicians should aware all possible malignant well iatrogenic causes REFERENCE #1: Superior Vena Cava Syndrome Malignant Causes | NEJM #2: https://www.ajkd.org/article/S0272-6386(16)30561-3/pdf DISCLOSURES: No relevant relationships Anam Hassan, source=Web Response Muhammad Hasham Sarwar, Brian Williams,