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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Format: | Article |
Language: | English |
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Elsevier
2024-05-01
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Series: | Radiology Case Reports |
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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. |
first_indexed | 2024-03-07T22:55:02Z |
format | Article |
id | doaj.art-1fa9a6ea8e494435a716d89989a91bd9 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-25T01:12:15Z |
publishDate | 2024-05-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
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 AT matthewsmith persistentleftsidedsvcanincidentalfindingduringportacathplacement AT geovannaerazo persistentleftsidedsvcanincidentalfindingduringportacathplacement |