We report transection and embolization to the heart of a subclavian venous catheter in an immobilized and mechanical ventilated patient. The catheter tip was retrieved using a percutaneous method via the left femoral vein. Mechanical compression of the subclavian venous catheter at the costoclavicular area is termed pinch-off syndrome. It can be recognized by intermittent difficulties with drug...

Upper-extremity deep venous thrombosisis is a potentially life-threatening condition. There are several predisposing factors, including thrombophilic states, malignancy and indwelling of central venous catheters, pacemakers and different kinds of ports. Cruveilhier described spontaneous axillary-subclavian vein thrombosis in 1816. The first detailed data on axillary-subclavian vein thrombosis o...

Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. We present a 48-year-old man with cerebrovascular and peripheral artery disease and the first case in the literature of a saphenous vein graft-coronary-subclav...

Catheter tip dislocation is the main complication of permanent pacemaker implantation using the subclavian vein. In this study of 50 patients we compared the incidence of complications using two endocardial electrodes specially designed to prevent tip dislocation. One catheter had a helical endocardial electrode and the other had retractable nylon barbs. The helical electrode was superior in ev...

ABSTRACT Introduction: Spontaneous upper­extremity deep venous thrombosis is associated with exercise, occurs in young healthy individuals and can be source of pulmonary embolism. Case Report: This case illustrates a 26­year­old Caucasian, left­handed, healthy man with overlooked subclavian vein thrombosis, which was source of pulmonary embolism. Pulmonary embolism manifested with pleural effus...

Central venous cannulation of infants may be challenging. Ultrasonography is recommended and has been found superior to classic landmark technique in pediatric central venous cannulation. The cannulation of the subclavian vein using supraclavicular approach under real-time ultrasound guidance is a novel technique. It may have advantages over ultrasound-guided jugular vein cannulation in specifi...

conclusions we think one of the influential factors for leading a guidewire and catheter into a nominated vein may be the left sided bevel of the needle at the time of internal jugular vein needle and catheter insertion. we were required to continue going towards the subclavian vein and accidentally turned into the left internal mammary vein. introduction central venous catheter placement is a ...

Left brachiocephalic vein begins from junction of left subclavian and left internal jugular vein posterior to medial end of left clavicle. It crosses to the right moving slightly in inferior direction and joins with right brachiocephalic vein to form superior vena cava. During its oblique course it crosses the left subclavian artery, left common carotid artery and brachiocephalic trunk in the s...

A variation in the course of the thoracic duct was found in the cervical portion of a male cadaver during routine dissection of the head and neck region for undergraduate students. The thoracic duct, while arching laterally above the clavicle, was coursing posterior to the vertebral vein but anterior to the vertebral artery; it normally passes anterior to both the vertebral vein and artery. To ...