1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2309/j.java.2019.002.001" target="_blank" rel="noreferrer noopener">http://doi.org/10.2309/j.java.2019.002.001</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
21-26
Issue
2
Volume
24
ISSN
1552-8855
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://ezproxy.neomed.idm.oclc.org/login?url=http://doi.org/10.2309/j.java.2019.002.001" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.2309/j.java.2019.002.001</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Sharp Recanalization of a Chronically Occluded Superior Vena Cava in a Patient with Multiple Prior Peripherally Inserted Central Catheters.
Publisher
An entity responsible for making the resource available
Journal Of The Association For Vascular Access
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-06
Subject
The topic of the resource
Adult; Female; Tomography X-Ray Computed; Radiography Thoracic; Diagnostic Imaging; Fluoroscopy; Stents; Venous Thrombosis; Cystic Fibrosis; Angiography Digital Subtraction; Angioplasty Balloon; Catheter Occlusion; Catheterization -- Methods; Heparin Low-Molecular-Weight -- Administration and Dosage; Peripherally Inserted Central Catheters; Vena Cava Superior -- Pathology; Venous Insufficiency
Creator
An entity primarily responsible for making the resource
Shwaiki Omar; Khoncarly Sarah; Buchino James J; McDaniel Janice
Description
An account of the resource
Purpose: To present a unique case in which intravenous medications were administered intermittently through a peripherally inserted central catheter (PICC) line over 2 years in the presence of an occluded superior vena cava (SVC) due to impressive collateral development. However, SVC recanalization was ultimately needed to allow for long-term future access needs. Case Description: This is a 25-year-old female with cystic fibrosis with known chronic occlusion of the SVC requiring multiple ports and PICC lines to maintain venous access. Despite conservative measures, it eventually became impossible to pass the occlusion via guidewire to properly place a PICC line. Sharp recanalization of the SVC occlusion with port placement was scheduled and successfully performed. The SVC was stented due to severe residual stenosis following recanalization and balloon angioplasty. Results: Imaging revealed a significantly enlarged hemiazygos vein and numerous prominent collaterals throughout the mediastinum and chest wall, resulting in the majority of chest venous drainage entering the inferior vena cava. After recanalization, her SVC and port remained patent and functional. Conclusions: For patients with SVC occlusion requiring venous access, a PICC line with the tip placed near the confluence of the brachiocephalic veins may serve as a temporary method for venous access in the presence of extensive collateral flow. However, for long-term access, sharp recanalization of the occlusion should be considered to restore normal laminar blood flow patterns and allow for optimum central venous catheter tip placement at the cavoatrial junction.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2309/j.java.2019.002.001" target="_blank" rel="noreferrer noopener">10.2309/j.java.2019.002.001</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2019
Adult
Akron Children's Hospital
Angiography Digital Subtraction
Angioplasty Balloon
Buchino James J
Catheter Occlusion
Catheterization -- Methods
CYSTIC fibrosis
Department of Radiology
Diagnostic Imaging
Female
Fluoroscopy
Heparin Low-Molecular-Weight -- Administration and Dosage
Journal Article
Journal Of The Association For Vascular Access
Khoncarly Sarah
McDaniel Janice
NEOMED College of Medicine
NEOMED College of Medicine Student
NEOMED Student Publications
November 2019 Update
Peripherally Inserted Central Catheters
Radiography Thoracic
Shwaiki Omar
Stents
Tomography X-Ray Computed
Vena Cava Superior -- Pathology
Venous Insufficiency
Venous Thrombosis