Superior vena cava syndrome after creation of arteriovenous fistula

Authors : Engin AKGUL, Sinan ERKUL, Gulen Sezer ALPTEKİN ERKUL, Ahmet Hakan VURAL

Pages : 281-284

Doi:10.18621/eurj.315130

View : 41 | Download : 10

Publication Date : 2017-11-04

Article Type : Other Papers

Abstract :Patients with end-stage renal disease require vascular access for hemodialysis. Repeated insertions and long-term duration of permanent central venous catheters may cause venous stenosis and thrombosis in central veins, which may result in superior vena cava syndrome. A 38-year-old male patient with end-stage renal disease was admitted with complaint of dyspnea, edema of the face, neck and bilateral upper extremities. We had created a radiocephalic arteriovenous fistula at the level of left wrist two weeks ago, he had a permanent catheter in the right internal jugular vein for 2 months. The Doppler ultrasound and venographic examinations of central veins showed that the permanent catheter in the right internal jugular vein had caused the edema of the neck, face and bilateral upper extremities by narrowing the superior vena cava. The catheter was removed and the patient was anticoagulated. The patient`s symptoms of shortness of breath were alleviated on hospital discharge and the swelling of the upper extremities diminished after one week. The hemodialysis patients should be directed to arteriovenous fistula surgery instead of central venous catheterization as soon as possible to avoid superior vena cava syndrome due to central venous catheters. 
Keywords : Superior vena cava syndrome, arteriovenous fistula, central venous catheter, central venous stenosis, arteriovenous fistula, end stage renal disease

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