Persistent left-sided SVC: An incidental finding during Port-A-Cath placement

Port-A-Cath (port), a single-lumen, tunneled catheter, is routinely placed into the superior vena cava (SVC) for cancer patients undergoing chemotherapy. We present a case of a port placement in which variant anatomy was discovered during the fluoroscopy-guided procedure and confirmed by venogram of...

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Main Authors: Jakob Hama, Matthew Smith, Geovanna Erazo
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324000700
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author Jakob Hama
Matthew Smith
Geovanna Erazo
author_facet Jakob Hama
Matthew Smith
Geovanna Erazo
author_sort Jakob Hama
collection DOAJ
description Port-A-Cath (port), a single-lumen, tunneled catheter, is routinely placed into the superior vena cava (SVC) for cancer patients undergoing chemotherapy. We present a case of a port placement in which variant anatomy was discovered during the fluoroscopy-guided procedure and confirmed by venogram of a persistent left-sided SVC (PLSVC). Upon further investigation into the patient's previous computed tomography (CT) scans, the diagnosis was further confirmed. Patients with PLSVC are typically asymptomatic; however, some are associated with increased congenital heart defects (CHD), which increase the risk for complications during invasive procedures. Diagnosing PLSVCs and knowing the clinical implications/complications can improve patient care; by not removing catheters unnecessarily and being prepared to treat/minimize complications.
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spelling doaj.art-1fa9a6ea8e494435a716d89989a91bd92024-03-10T05:11:47ZengElsevierRadiology Case Reports1930-04332024-05-0119518321835Persistent left-sided SVC: An incidental finding during Port-A-Cath placementJakob Hama0Matthew Smith1Geovanna Erazo2Internal Medicine, New York City Health and Hospitals Queens Hospital Center, 82-68 164th St, Queens, NY 11432, USA; Corresponding author.Interventional Radiology, New York City Health and Hospitals Queens Hospital Center, 82-68 164th St, Queens, NY 11432, USAInterventional Radiology, New York City Health and Hospitals Queens Hospital Center, 82-68 164th St, Queens, NY 11432, USAPort-A-Cath (port), a single-lumen, tunneled catheter, is routinely placed into the superior vena cava (SVC) for cancer patients undergoing chemotherapy. We present a case of a port placement in which variant anatomy was discovered during the fluoroscopy-guided procedure and confirmed by venogram of a persistent left-sided SVC (PLSVC). Upon further investigation into the patient's previous computed tomography (CT) scans, the diagnosis was further confirmed. Patients with PLSVC are typically asymptomatic; however, some are associated with increased congenital heart defects (CHD), which increase the risk for complications during invasive procedures. Diagnosing PLSVCs and knowing the clinical implications/complications can improve patient care; by not removing catheters unnecessarily and being prepared to treat/minimize complications.http://www.sciencedirect.com/science/article/pii/S1930043324000700SVCPort-A-CathLeftPersistentCatheter
spellingShingle Jakob Hama
Matthew Smith
Geovanna Erazo
Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
Radiology Case Reports
SVC
Port-A-Cath
Left
Persistent
Catheter
title Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
title_full Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
title_fullStr Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
title_full_unstemmed Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
title_short Persistent left-sided SVC: An incidental finding during Port-A-Cath placement
title_sort persistent left sided svc an incidental finding during port a cath placement
topic SVC
Port-A-Cath
Left
Persistent
Catheter
url http://www.sciencedirect.com/science/article/pii/S1930043324000700
work_keys_str_mv AT jakobhama persistentleftsidedsvcanincidentalfindingduringportacathplacement
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AT geovannaerazo persistentleftsidedsvcanincidentalfindingduringportacathplacement