Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun;46(6):2481-2485.
doi: 10.1177/0300060518766649. Epub 2018 Apr 24.

Failure to place a tunneled hemodialysis catheter due to malformation of right internal jugular vein draining to subclavian vein

Li-Na Zhu  1 , Li-Jun Mou  1 , Ying-Hu  1 , Gui-Na Wei  1 , Jun-Feng Sun  2
Affiliations

Failure to place a tunneled hemodialysis catheter due to malformation of right internal jugular vein draining to subclavian vein

Li-Na Zhu et al. J Int Med Res. 2018 Jun.

Abstract

The right internal jugular vein (IJV) is an important access site for hemodialysis catheterization. Venous cannulation failure is usually caused by central venous stenosis and is rarely related to vessel malformation. We herein present a case of failure to place a tunneled hemodialysis catheter into the right IJV. The patient had an arteriovenous fistula in the right arm with inadequate flow and a history of multiple central venous catheterizations. The guidewire was repeatedly misplaced into the right subclavian vein (SV) regardless of the technique used. Computed tomography venography revealed that the inferior segment of the right IJV drained into the ipsilateral SV. To the best of our knowledge, this is the first report of catheterization failure due to abnormal drainage of the right IJV into the ipsilateral SV.

Keywords: Renal dialysis; catheterization; central vein; malformation; right internal jugular vein; subclavian vein.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Right internal jugular vein draining to ipsilateral subclavian vein with an angle of about 35 degrees. ♦ Right subclavian vein, * right brachiocephalic vein, ★ right internal jugular vein, △ angle of right internal jugular vein and right subclavian vein.
See this image and copyright information in PMC

References

    1. Wu S and Kalva S. Dialysis access management. Basel: Springer International Publishing, 2015.
    1. Kumwenda M, Mitra S and Reid C. Clinical practice guideline vascular access for haemodialysis: UK renal association 6th edition final version, 2015. - PubMed
    1. Watanabe Y, Yamagata K, Nishi S, et al. Japanese society for dialysis therapy clinical guideline for “hemodialysis initiation for maintenance hemodialysis”. Ther Apher Dial 2015; 19(Suppl 1): 93–107. - PubMed
    1. Calvino J, Bravo J, Martinez L, et al. Recognizing misplacement of a dialysis catheter in the azygos vein. Hemodial Int 2013; 17: 455–457. - PubMed
    1. Yilmazlar A, Bilgin H, Korfali G, et al. Complications of 1303 central venous cannulations. J R Soc Med 1997; 90: 319–321. - PMC - PubMed

MeSH terms