PMID: 20037893Dec 29, 2009

Two cases of silent superior vena cava syndrome associated with vascular access and end-stage renal disease

The International Journal of Artificial Organs
Chrisoula PipiliHelen Tzanatos


Due to the unavoidable use of indwelling devices and the magnitude of the operative problems encountered, superior vena cava syndrome (SVCS) has become a serious threat for patients with a history of multiple catheter placements. True diagnosis sometimes is not available due to paucity of symptoms or due to the inadequate considerations of the disease. Particularly in patients with chronic kidney disease, the evidence of central venous occlusion dictates the avoidance of placing peripheral dialysis access in this extremity. In this article, we report two patients (case 1- a patient with end stage renal disease and case 2 - a patient with chronic kidney disease) with silent SVCS related to stenosis resulting from indwelling pacemaker leads. Furthermore, the first patient had an extrinsic factor of compression, a brachial artery pseudoaneurysm - which although it was not causative - it may certainly have contributed to the development of SVCS. The brachial artery pseudoaneurysm restricted even more the flow to cephalic vein and consequently to superior vena cava. Though pacemaker leads have been well identified previously in the literature as a cause of the SVCS, the brachial artery pseudoaneurysm causing extrinsic compression co...Continue Reading


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Related Concepts

Indirect Thrombin Inhibitors
Arteriovenous Anastomosis Procedure
Structure of Brachial Artery
Catheterization, Central Venous
Implantable Catheters
Myocardial Failure
Kidney Failure, Chronic
Artificial Cardiac Pacemaker
Superior Vena Cava Thrombosis

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