Azigos vein: Is it a Malposition or an Alternative?

Conclusion & Impact:We present a case where the required blood flow for hemodialysis was provided by a dilated azygos vein due to superior vena cava obstruction.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

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 flow for hemodialysis was provided by a dilated azygos vein due to superior vena cava obstruction.

Özet

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.

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Cite This Article

DEMİRKIRAN, D., BEĞENİK, H., GÜMRÜKÇÜOĞLU, H. A., EMRE, H., USUL, Y. S., ERDUR, F. M., ERKOÇ, R. (2022). Azigos vein: Is it a Malposition or an Alternative?. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, Cilt: 20 - Sayı: 3, 304–306. https://ajindex.com/articles/636462

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