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Jugular venous catheter lodged in intercostal vein
Catéter venoso de acceso yugular alojado en vena intercostal
J.M. López-Millán
, C. Coca Gamito
Corresponding author
Unidad de Dolor, Unidad de Gestión Clínica de Anestesiología y Especialidades Quirúrgicas, Hospital Universitario Virgen Macarena, Sevilla, Spain
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López-Millán, C. Coca Gamito" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "López-Millán" "email" => array:1 [ 0 => "josem.lopez.millan.sspa@juntadeandalucia.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Coca Gamito" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Dolor, Unidad de Gestión Clínica de Anestesiología y Especialidades Quirúrgicas, Hospital Universitario Virgen Macarena, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Catéter venoso de acceso yugular alojado en vena intercostal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 872 "Ancho" => 750 "Tamanyo" => 124356 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Non-contrast-enhanced chest computed tomography. Multi-plane reconstruction of soft tissue, vascular technique, axial view with 30º anti-clockwise rotation, showing the path of the catheter over the aortic arch.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old woman with stage IV breast cancer required a permanent subcutaneous central vascular access for chemotherapy. Due to radical mastectomy with right axillary clearance, an access through the left internal jugular vein was indicated to avoid the impingement syndrome that is more frequent in the subclavian vein approach. Scheduled, ultrasound-guided vascular puncture was performed with intrathoracic monitoring of the catheter using fluoroscopy. An 8-F catheter was placed using the Seldinger technique, forming a loop that did not impede its normal function (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The catheter was located in the seventh left intercostal vein (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The presence of a left azygos vein occurs in 1% of the population and connects the superior vena cava with the last 9 left intercostal veins, forming an arch at the level of the fourth dorsal vertebra (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: López-Millán JM, Coca Gamito C. Catéter venoso de acceso yugular alojado en la vena intercostal. Rev Esp Anestesiol Reanim. 2020;67:568–569.</p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 625 "Ancho" => 750 "Tamanyo" => 43450 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Plain chest X-ray. Posteroanterior view showing a loop in the catheter whose proximal end is located at the level of the seventh left costovertebral joint.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 900 "Ancho" => 900 "Tamanyo" => 111334 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Non-contrast-enhanced chest computed tomography. Multi-plane soft tissue reconstruction, 30º anterior coronal view showing the catheter loop in the arch of the left azygos vein (white arrow) and its entry into the seventh left intercostal vein (yellow arrow).</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 872 "Ancho" => 750 "Tamanyo" => 124356 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Non-contrast-enhanced chest computed tomography. Multi-plane reconstruction of soft tissue, vascular technique, axial view with 30º anti-clockwise rotation, showing the path of the catheter over the aortic arch.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006700000010/v1_202012131408/S2341192920301645/v1_202012131408/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006700000010/v1_202012131408/S2341192920301645/v1_202012131408/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192920301645?idApp=UINPBA00004N" ]
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