Patients with abnormal venogram
Patient no. . | History of problems with CVC . | Physical examination . | Venogram findings . | Outcome . |
---|---|---|---|---|
2 | No blood return and resistance to infusion | Normal | Venous stricture at catheter insertion and multiple collaterals around the left subclavian vein | Catheter removed |
4 | Discomfort in neck with CVC use and resistance to infusion | Few dilated veins on upper left chest wall and left shoulder; left arm 2 cm greater in diameter than the right | Occluded right subclavian vein with multiple collaterals | Catheter removed |
7 | None | Normal | Narrowing of the proximal right subclavian with mild poststenotic dilation | Scheduled catheter removal |
8 | None | Normal | Chronic thrombosis of left subclavian and brachiocephalic veins and superior vena cava; numerous mediastinal collaterals | Catheter removed |
9 | No blood return, resistance to infusion, discomfort with CVC use | Normal | Proximal subclavian vein narrowing with collateral formation; nonocclusive 4-5 cm thrombus | Catheter removed |
10 | None | Prominent chest wall veins and left arm 1 cm greater in diameter than the right | Thrombosis or stricture of left subclavian and brachiocephalic veins with multiple collaterals | Catheter removed |
13 | Resistance to infusion | Normal | Multiple collaterals around the right subclavian vein, suggesting a proximal stenosis | Catheter removed |
14 | No blood return | Right arm 2 cm greater in diameter than left | Stricture of right subclavian vein with multiple collaterals | Catheter removed |
Patient no. . | History of problems with CVC . | Physical examination . | Venogram findings . | Outcome . |
---|---|---|---|---|
2 | No blood return and resistance to infusion | Normal | Venous stricture at catheter insertion and multiple collaterals around the left subclavian vein | Catheter removed |
4 | Discomfort in neck with CVC use and resistance to infusion | Few dilated veins on upper left chest wall and left shoulder; left arm 2 cm greater in diameter than the right | Occluded right subclavian vein with multiple collaterals | Catheter removed |
7 | None | Normal | Narrowing of the proximal right subclavian with mild poststenotic dilation | Scheduled catheter removal |
8 | None | Normal | Chronic thrombosis of left subclavian and brachiocephalic veins and superior vena cava; numerous mediastinal collaterals | Catheter removed |
9 | No blood return, resistance to infusion, discomfort with CVC use | Normal | Proximal subclavian vein narrowing with collateral formation; nonocclusive 4-5 cm thrombus | Catheter removed |
10 | None | Prominent chest wall veins and left arm 1 cm greater in diameter than the right | Thrombosis or stricture of left subclavian and brachiocephalic veins with multiple collaterals | Catheter removed |
13 | Resistance to infusion | Normal | Multiple collaterals around the right subclavian vein, suggesting a proximal stenosis | Catheter removed |
14 | No blood return | Right arm 2 cm greater in diameter than left | Stricture of right subclavian vein with multiple collaterals | Catheter removed |