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< Vol. 17 Issue 4 | Jul-Aug 2016 | pp. 293 - 372, e65 - e141

Cardiac veins: collateral venous drainage pathways in chronic hemodialysis patients

Cardiac veins: collateral venous drainage pathways in chronic hemodialysis patients

J Vasc Access 2016; 17(4): e68 - e69

Article Type: CASE REPORT

DOI:10.5301/jva.5000549

Authors

Evrim Ozmen, Oktay Algin

Abstract

Venous anomalies are diagnostic and therapeutic challenges. Subclavian or superior vena cava stenosis can be developed and venous return can be achieved via cardiac veins and coronary sinus in patients with central venous catheter for long-term hemodialysis. These types of abnormalities are not extremely rare especially in patients with a history of central venous catheter placement. Detection of these anomalies and subclavian vein stenosis before the surgical creation of hemodialysis fistulae or tunneled central venous catheter placement may prevent unnecessary interventions in those patients. Multidetector computed tomography (MDCT) technique can give further information when compared with fluoroscopy or digital subtraction angiography in the management of these patients. This case report describes interesting aspects of central vein complications in hemodialysis patients. As a conclusion, there are limited data about thoracic venous return, and further prospective studies with large patient number are required. MDCT with 3D reconstruction is particularly useful for the accurate evaluation of venous patency, variations, and collateral circulation. Also it is an excellent tool for choosing and planning treatment.

Article History

  • • Accepted on 30/01/2016
  • • Available online on 05/04/2016
  • • Published online on 12/07/2016

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

  • Ozmen, Evrim [PubMed] [Google Scholar]
  • Algin, Oktay [PubMed] [Google Scholar] , * Corresponding Author (droktayalgin@gmail.com)

Affiliations

  • Department of Radiology, Ataturk Training and Research Hospital, Ankara - Turkey

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