title: Endovascular stenting for left subclavian venous stenosis for a hemodialysis patient with a persistent left superior vena cava.
abstract: A persistent left superior vena cava (PLSVC) is the most common thoracic venous anomaly, and we should be aware of its existence. We encountered a case of significant left arm swelling due to recurrent left subclavian venous stenosis in a hemodialysis patient with a PLSVC. Endovascular stent placement was performed safely and effectively for the stenosis employing the pull-through technique, in which a guidewire was passed from the left internal jugular vein to the access vein. On the following day, left arm swelling had improved. 3 months after stent placement the left arm swelling has not recurred.
authors.affiliation: Department of Diagnostic Radiology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Kyoto, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Takuji
authors.initials: T
authors.lastname: Yamagami
authors.forename: Takuji
authors.initials: T
authors.lastname: Yamagam
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Morishita
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Asai
authors.forename: Osamu
authors.initials: O
authors.lastname: Sato
authors.forename: Tsuneyuki
authors.initials: T
authors.lastname: Nakanouchi
authors.forename: Tsunehiko
authors.initials: T
authors.lastname: Nishimura
keywords: persistent left superior vena cava; pull-through technique; stent
references.citation: Cardiovasc Intervent Radiol. 2009 Mar;32(2):271-8
references.pmid: 19194745
references.citation: AJR Am J Roentgenol. 2009 Dec;193(6):1672-9
references.pmid: 19933663
references.citation: Radiology. 1989 Jul;172(1):111-3
references.pmid: 2525789
references.citation: Crit Care Med. 1992 Aug;20(8):1119-22
references.pmid: 1643891
references.citation: Chest. 1986 Jan;89(1):155-7
references.pmid: 3940779
references.citation: Semin Dial. 2007 Jan-Feb;20(1):78-82
references.pmid: 17244127
references.citation: J Card Surg. 1990 Jun;5(2):122-33
references.pmid: 2133830
references.citation: J Vasc Access. 2009 Jul-Sep;10(3):207-11
references.pmid: 19670176
references.citation: Clin Radiol. 1986 Mar;37(2):131-8
references.pmid: 3698495
references.citation: Radiology. 1997 Aug;204(2):343-8
references.pmid: 9240518
references.citation: Surg Radiol Anat. 2003 Jul-Aug;25(3-4):315-21
references.pmid: 12898196
references.citation: Eur Radiol. 2000;10(1):167-9
references.pmid: 10663738
references.citation: AJR Am J Roentgenol. 1993 May;160(5):1123-4
references.pmid: 8470591
references.citation: Am J Kidney Dis. 2004 Feb;43(2):365-7
references.pmid: 14750103
references.citation: J Vasc Surg. 1994 Mar;19(3):532-8; discussion 538-9
references.pmid: 8126868