Two successful insertions of peripherally inserted central catheters in a patient with persistent left superior vena cava: A case report. Issue 38 (September 2019)

• Record Type: Journal Article
• Authors: Kang, Junren; Liu, Bing; Sun, Wenyan
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 98:Issue 38(2019)
• Publication Date: 2019-09
• Subjects: deep vein thrombosis -- peripherally inserted central venous catheter -- persistent left superior vena cava -- superior vena cava; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000016988
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Peripherally inserted central catheters (PICC), normally located at the lower 1/3rd of the superior vena cava (SVC) and cavo-atrial junction, are commonly used in cancer patients. Persistent left superior vena cava (PLSVC) is a vascular anomaly, in patients with which seldom research was reported about PICC implanted. After obtaining written informed consent, we present a case where two successful insertions of PICC were performed in a 50-year-old female patient with PLSVC and right SVC. Patients concerns: The patient had ovarian cancer and was admitted for chemotherapy using PICC. Diagnoses: Ovarian cancer and PLSVC. Interventions and Outcomes: Following insertion of PICC in PLSVC, thrombosis developed. PICC was removed after routine anticoagulation therapy. Owing to tumor recurrence, a second PICC was inserted in the right SVC without any complications. Lessons: PICC insertion in PLSVC for chemotherapy may be associated with an increased risk of deep venous thrombosis of the upper extremity. A right catheter insertion in patient with PLSVC was preferred.