PICC line in left-sided SVC

Case contributed by Dr Thomas Snow

Presentation

Routine PICC line placement for long term antibiotics.

Patient Data

Age: 55
Gender: Female

DSA of thorax, venous injection from PICC

Modality: DSA (angiography)

DSA from the PICC line shows right and left SVCs.

Case Discussion

Left SVC is not a rare anomaly (0.5%). It is usually part of a duplication (bilateral SVC), as in this case. The left SVC will rarely drain into the left atrium, and therefore it would be hazardous to leave a PICC line in this position (systemic embolism risk). The demonstration of the pulmonary artery in the second angiogram has important implications for the final position of the PICC.

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Case Information

rID: 34662
Case created: 3rd Mar 2015
Last edited: 28th Sep 2015
Inclusion in quiz mode: Included

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