CONTEXT Venous thrombosis has been described in patients with acute and chronic pancreatitis. This is especially common in portal vein, splenic vein and superior mesenteric vein. To the best of our knowledge, involvement of superior vena cava and subclavian vessel due to pancreatitis has not been reported. CASE REPORT We present here a case of an adult male with alcoholic chronic pancreatitis...

BACKGROUND Three anatomical sites are commonly used to insert central venous catheters, but insertion at each site has the potential for major complications. METHODS In this multicenter trial, we randomly assigned nontunneled central venous catheterization in patients in the adult intensive care unit (ICU) to the subclavian, jugular, or femoral vein (in a 1:1:1 ratio if all three insertion si...

A 66 year old lady with history of hypertension, diabetes presented with advanced HF. She was diagnosed to have carcinoma breast in the year 2006 and had undergone lumpectomy followed by chemotherapy and radiotherapy. She presented with severe LV dysfunction with LV ejection fraction(LVEF) of 35% (NYHA IV) with left bundle branch block (LBBB). Despite optimal medical therapy she was admitted tw...

Spontaneous axillary-subclavian vein thrombosis in young patients produces long-term disability. Patients with secondary axillary-subclavian vein thrombosis usually require prolonged venous catheterization for chemotherapy or pacemaking. This study aimed to compare the early and late results of lytic versus anticoagulant therapy in the treatment of axillary-subclavian vein thrombosis, both spon...

A 79-year-old woman was admitted to our intensive care unit (ICU) because of end-stage heart failure accompanied by respiratory insufficiency. On the seventh day, routine radiography revealed a “bow-tie” knot near the distal end of an SGC that had been inserted through the right subclavian vein. We were able to pull the knot back into the subclavian vein, but attempts to undo the knot and remov...

Paget-Schroetter syndrome is thrombosis of the subclavian or axillary vein due to repetitive use of the upper limbs. We present a case of PagetSchroetter syndrome in a man who regularly performed weightlifting as part of his routine workout at the gymnasium. The mechanisms of the disease and its treatment are discussed. This diagnosis should be considered in unexplained subclavian or axillary v...

Two patients who developed unilateral neck vein distention following insertion of a Swan-Ganz catheter are described. One patient developed unilateral swelling of the arm used for catheter insertion. Following removal of the Swan-Ganz catheter in this patient, venograms of both upper extremities revealed internal jugular vein thrombosis and subclavian vein thrombosis of the involved extremity. ...

Internal jugular vein has been recommended as the vascular access for haemodialysis because it is associated with less thrombotic/stenotic complication. Despite this recommendation, subclavian vein access is still being frequently used. This paper aims at reviewing the rate of complications associated with temporary double lumen subclavian vein dialysis access catheter in a personal series. It ...

A set of images in which a pacemaker lead replacement procedure was complicated by occlusion of the proximal subclavian vein is presented. However, this was not detected on venography performed before the procedure. Physicians should be aware of a more proximal occlusion of the subclavian vein while replacing pacemaker leads, even in cases with seemingly normal venography.

The supraclavicular approach of subclavian vein catheterization is associated with the lowest incidence of malposition. We report two cases of unusual malpositions seen during central venous cathelerization of subclavian vein via supraclavicular approach. Literature search did not reveal such malpositions. The possible cause for the malposition and method to prevent it is discussed.