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Azigos Ven: Malpozisyon mu? Alternatif mi?

Azigos Vein: Is it a Malposition or an Alternative?

Journal Name:

Publication Year:

DOI: 
10.5262/tndt.2011.1003.18

Keywords (Original Language):

Abstract (2. Language): 
Use of a temporary central venous catheter is common practice in hemodialysis therapy. One of the most common complications of central venous catheterization is catheter malposition. Cannulation of the azygos vein (particularly the azygos arch) is a rare but hazardous catheter malposition that carries a substantial risk of perforation, thrombosis and vascular stenosis. On the other hand, the azygos vein can be used for vascular access in patients whose superior vena cava and inferior vena cava are thrombosed. We present a case where the required blood fl ow for hemodialysis was provided by a dilated azygos vein due to superior vena cava obstruction.
Abstract (Original Language): 
Hemodiyaliz için geçici santral venöz kateter kullanımı sık yapılan bir uygulamadır. Santral venöz kateter uygulamasının sık görülen komplikasyonlarından biri kateter malpozisyonudur. Azigos ven (özellikle azigos ark) kanülasyonu nadirdir fakat, damar tıkanıklığı, perforasyon ve tromboz riski taşıdığından dolayı tehlikeli bir kateter malpozisyonudur. Biz vena kava süperior tıkanıklığı nedeniyle atriuma ilerlememesine rağmen dilate olan azigos ven tarafından yeterli kan akımı sağlandığı için zorunlu ve geçici olarak kullanılan kateter malpozisyonu olgusunu sunduk.
304-306

REFERENCES

References: 

1. Bailey SH, Shapiro SB, Mone MC, Saffl e JR, Morris SE, Barton
RG: Is immediate chest radiograph necessary after central venous
catheter placement in a surgical intensive care unit? Am J Surg
2000; 180: 517-522
2. Guth AA: Routine X-rays after insertion of implantable long-term
venous catheters: Necessary or not? American Surgery 2001; 67:
26-29
3. Galloway S, Bodenham A: Long-term central venous access. Br J
Anaesth. 2004; 92(5): 722-734
4. Granata A, Figuera M, Castellino S, Logias F, Basile A: Azygos
arch cannulation by central venous catheters for hemodialysis. J
Vasc Access 2006; 7(1): 43-45
5. Wong JJ, Kinney TB: Azygos tip placement for hemodialysis
catheters in patients with superior vena cava occlusion. Cardiovasc
Intervent Radiol 2006; 29(1): 143-146
6. Patel NH: Percutaneous translumbar placement of a Hickman
catheter into the azygous vein. AJR Am J Roentgenol 2000; 175(5):
1302-1304
7. Schummer W, Schummer C: Central venous catheter malposition in
the azygos arch. Eur J Anaesthesiol 2002; 19(11): 832-834
8. Bankier AA, Mallek R, Wiesmayr MN, Fleischmann D, Kranz A,
Kontrus M, Knapp S, Winkelbauer FW: Azygos arch cannulation
by central venous catheters: Radiographic detection of malposition
and subsequent complications. J Thorac Imaging 1997; 12: 64-69
9. Skandalos I, Hatzibaloglou A, Evagelou I, Ntitsias T, Samaras
A, Visvardis G, Mavromatidis K, Karamoshos K: Deviations
of placement/function of permanent central vein catheters for
hemodialysis. Int J Artif Organs 2005; 28:583-590
10. Muhm M, Sunder-Plassmann G, Druml W: Malposition of a dialysis
catheter in the accessory hemiazygos vein. Anesth Analg 1996;
83(4): 883-885
11. Stewart GD, Jackson A, Beards SC: Azygos catheter placement as a
cause of failure of dialysis. Clin Radiol 1993; 48(5): 329-331
12. Jaber MR, Thomson MJ, Smith DC: Azygos vein dialysis catheter
placement using the translumbar approach in a patient with inferior
vena cava occlusion. Cardiovasc Intervent Radiol 2008; 31(2):
206-208
13. Sola JE, Thompson WR: Thoracoscopic-assisted placement of
azygos vein central venous catheter in a child. Am J Transplant
2008; 8(3): 715-718

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