Table 2.

Patients with abnormal venogram

Patient no.History of problems with CVCPhysical examinationVenogram findingsOutcome
No blood return and resistance to infusion Normal Venous stricture at catheter insertion and multiple collaterals around the left subclavian vein Catheter removed  
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  
None Normal Narrowing of the proximal right subclavian with mild poststenotic dilation Scheduled catheter removal 
None Normal Chronic thrombosis of left subclavian and brachiocephalic veins and superior vena cava; numerous mediastinal collaterals Catheter removed  
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 CVCPhysical examinationVenogram findingsOutcome
No blood return and resistance to infusion Normal Venous stricture at catheter insertion and multiple collaterals around the left subclavian vein Catheter removed  
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  
None Normal Narrowing of the proximal right subclavian with mild poststenotic dilation Scheduled catheter removal 
None Normal Chronic thrombosis of left subclavian and brachiocephalic veins and superior vena cava; numerous mediastinal collaterals Catheter removed  
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 

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