Haemodialysis Permcath-associated Superior Vena Cava Syndrome OD10-OD12
Sukanto K Das,
Consultant, Department of Nephrology and Renal Transplant, AMRI Hospitals, Bhubaneswar, Odisha, India.
Superior Vena Cava (SVC) syndrome can arise due to obstruction of blood flow in the SVC. Haemodialysis (HD) catheter is very commonly inserted into the SVC, and can lead to thrombotic complications, thereby resulting in signs and symptoms of SVC syndrome.
We hereby report a case of a 59-year-old male patient from Western Orissa (India) who was diagnosed with end-stage renal disease and was maintained on regular haemodialysis via right jugular vein dual lumen cuffed tunnelled (Permcath) catheter for five months and presented with signs and symptoms suggestive of SVC obstruction. His symptoms worsened, for which, he was taken for percutaneous transluminal angioplasty to SVC followed by stenting of right brachiocephalic vein and SVC.
The SVC syndrome can be a potential consequence of HD catheter-related thrombosis. In view of frequency of HD catheter placement, nephrologists should be aware of these potential complications in any patient with HD catheter-related thrombosis and appropriate therapeutic intervention including stenting when required.