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Persitan Sol Superior Vena Cava Anomalisinde Geçici Diyaliz Katateri Yerleştirilmesi

Implantation of Transient Hemodilysis Catheter in Patient with Persistent Left Superior Vena Cava

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Abstract (2. Language): 
A 44 years old woman who having hemodialysis for three years had a complaint of pain in the fistular area. Ultrasonographic examination was done to the fistular area. There was no flow by color doppler imagings. Transient dialysis catheter for hemodialysis was suggested to the patient. Catheter was advanced to the left jugular vein. When control telecardiography examination was done, catheter malposition was detected. Venous type blood was seen when negative pressure applied. Anjiography was applied to detect the catheter localisation. Caheter was seen in coronary sinus via the route of persistant left superior vena cava.
Abstract (Original Language): 
Üç yıldır hemodiyalize giren 44 yaşında kadın hastanın fistül yerinde ağrı şikâyeti olması üzerine fistül yeri yüzeysel ultrasonografi ile kontrol edildi. Renkli doppler ile fistül yerinde akım olmadığı saptandı. Hastanın geçici diyaliz kateteri ile diyalize girmesine karar verildi. Sol juguler venden kateter ilerletildi. Kontrol telekardiyografisinde kateter mal pozisyonu olduğu saptandı. Negatif basınç ile venöz vasıfta kan geldiği gözlendi. Kateterin yerinin kontrolü için yapılan anjiyografide, kateterin persistan sol süperiyor vena kava aracılığı ile koroner sinüse ulaştığı gözlendi.
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