Migration of central lines from the superior vena cava to the azygous vein

Haygood, Tamara Miner; Malhotra, Kavin; Ng, Chaan S.; Chasen, Beth; McEnery, Kevin W.; Chasen, Marvin H.

doi:10.1016/j.crad.2011.05.011

Cited by 36 publications

(30 citation statements)

References 20 publications

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“…There are three potential explanations for this observation. First, the left-sided TDC travels through a more tortuous path than does the right-sided TDC, thereby increasing the likelihood of tip migration out of the right atrium into the superior vena cava (23). Second, patients whose initial TDC is inserted via the left IJV may already have a pre-existing abnormal vasculature, as a consequence of co-existent or previous right IJV non-dialysis catheters.…”

Section: Discussionmentioning

confidence: 99%

Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Shingarev

Barker-Finkel

Allon

2013

Journal of Vascular and Interventional Radiology

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PURPOSE Over 80% of US patients initiate HD with a tunneled dialysis catheter (TDC). Published data on TDC outcomes are based on a case-mix of prevalent and incident TDCs. We analyzed factors affecting patency and complications of first TDCs ever placed in a large cohort of incident HD patients. MATERIALS AND METHODS We retrospectively queried a prospective, computerized vascular access database to identify 472 patients receiving a first ever TDC. Multiple variable survival analysis was used to identify clinical parameters affecting TDC patency (from placement to non-elective removal) and infection (from placement to first episode of catheter-related bacteremia). RESULTS The median patency of all TDCs was 202 days. Left-sided placement of TDCs was the only variable associated with inferior TDC patency (hazard ratio 1.98; 95% CI, 1.39–2.81, p<0.0001). The 6-month TDC patency was 37% for left interval jugular (LIJ) vein catheters vs 54% for right internal jugular (RIJ) vein catheters. The one-year patency was 6% for LIJ catheters vs 35% for RIJ catheters. Catheter patency was not associated with patient age, sex, race, hypertension, diabetes, coronary artery disease, peripheral vascular disease, cerebrovascular disease, or heart failure. The median time to the first episode of catheter-related bacteremia was 163 days. None of the clinical variables was associated with TDC infection. CONCLUSIONS TDCs are plagued by high rates of infection. Right IJ vein TDC should be used preferentially to maximize catheter patency.

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Section: Discussionmentioning

confidence: 99%

Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Shingarev

Barker-Finkel

Allon

2013

Journal of Vascular and Interventional Radiology

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“…), azygos vein (Haygood et al . ), thoracic vein (Lifang ) and lateral thoracic vein (Charlene ) was all reported.…”

Section: Resultsmentioning

confidence: 98%

Repositioning techniques of malpositioned peripherally inserted central catheters

Jin

Chen

Zhao

et al. 2012

Journal of Clinical Nursing

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“…[1] Two retrospective reviews highlighted the possibility of central line migration in azygous vein; however, all of these catheters were placed from the left (subclavian vein, peripherally inserted central (PICC) line, and IJV) side and had 19% venous perforation. [23] Our report is 1 st one, which highlights the azygous vein rupture during right sided cannulation of IJV. The injury might result either during guide wire insertion or dilatation phase.…”

mentioning

confidence: 75%

Azygous vein rupture after right internal jugular vein cannulation: A rare complication

2013

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Migration of central lines from the superior vena cava to the azygous vein

Cited by 36 publications

References 20 publications

Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Natural History of Tunneled Dialysis Catheters Placed for Hemodialysis Initiation

Repositioning techniques of malpositioned peripherally inserted central catheters

Azygous vein rupture after right internal jugular vein cannulation: A rare complication

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