Introduction: Central vein stenosis is a challenging problem faced by hemodialysis patients. Significant arm swelling, facial plethora, skin breakdown and loss of dialysis access are potential complications, which limit both the quality life expectancy these Amongst patients in Mombasa County, incidence subclavian catheter utilization common, leading to higher-than-expected symptomatic central ...

Central venous thrombosis is an important complication of venous catheterization. We presented a 49-year-old male patient who developed massive central venous thrombosis causing superior vena cava (SVC) syndrome after placement of a right subclavian vein port catheter. The patient had inoperable gastric cancer for which he had been receiving chemotherapy for two years. He had a six-month histor...

INTRODUCTION In the two cases described here, the subclavian artery was inadvertently cannulated during unsuccessful access to the internal jugular vein. The puncture was successfully closed using a closure device based on a collagen plug (Angio-Seal, St Jude Medical, St Paul, MN, USA). This technique is relatively simple and inexpensive. It can provide clinicians, such as intensive care physic...

OBJECTIVE The aim of this study was to establish a neurovascular safety zone for surgical access in the middle third of the clavicle, by means of dissection on cadavers. METHODS Twenty shoulders were dissected in 10 cadavers, with deep dissection of the middle third of the clavicle. The following structures were identified: subclavian vein, upper trunk of the brachial plexus (anterior and pos...

Introduction Central venous catheterization (CVC) is implemented for volume resuscitation, hemodynamic monitoring, vasopressor administration, frequent blood sampling, parenteral nutritional support and the administration of long-term chemotherapy [1]. Generally, it is attempted using the internal jugular, subclavian or femoral veins. The subclavian vein access has been the recommended approach...

INTRODUCTION Percutaneous subclavian vein catheterization is one of the most common invasive procedures performed in cardiac surgery. The aim of this study was to compare left and right subclavian vein catheter placement via the infraclavicular approach in patients who undergo coronary artery bypass graft (CABG) surgery. METHODS This prospective, randomized clinical trial was performed in193 ...

74 Thoracic outlet syndrome (TOS) is a comprehensive term used to describe symptomatology due to compression of neurovascular bundle in the thoracic outlet region of upper extremity. The term TOS was used for the first time in the literature by Rob and Standeven.[1] It had also been termed costoclavicular syndrome, cervical rib syndrome, scalenus anticus syndrome, subclavius tendon syndrome, or...

This study aims to investigate the causes of catheter fracture and handling measures for implantable vascular access devices to prevent catheter fracture. We retrospectively examined 3088 adult patients with catheter fracture/disruption caused by totally implantable vascular access devices (TIVDs). In the 3088 cases, implantation was via the internal jugular vein in 2909 cases and the subclavia...

jugular vein and the subclavian vein. The left brachiocephalic vein (LBCV) usually passes superior and anterior to the aortic arch (1). In rare cases, this vein follows an anomalous course. This anomaly was first described by Kerschner in 1888 (2) and a double LBCV described by Takata in 1992 (3). The incidence of an aberrant left brachiocephalic vein (ALBCV) with congenital heart disease is 0....