Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1430
Peer-review started: October 2, 2023
First decision: December 15, 2023
Revised: December 29, 2023
Accepted: February 18, 2024
Article in press: February 18, 2024
Published online: March 16, 2024
Processing time: 161 Days and 19.2 Hours
Peripherally inserted central catheters (PICCs) are an essential infusion route for oncology patients receiving intravenous treatments, but lower extremity veni
On 24 August 2022, a 58-year-old male was admitted to our department due to an intermittent cough persisting for over a month, which worsened 10 d prior. Imaging and laboratory investigations suggested the patient with pulmonary malignancy and SVCS. Chemotherapy was not an absolute contraindication in this patient. Lower extremity venipuncture is the preferred technique because administering upper extremity venous transfusion to patients with SVCS can exacerbate oedema in the head, neck, and upper extremities. The patient and his family were informed about the procedure, and informed consent was obtained. After successful puncture and prompt treatment, the patient was discharged, experiencing some relief from symptoms.
Inferior vena cava catheterisation is rare and important for cancer patients with SVCS, particularly in complex situations involving ectopic placement.
Core Tip: The conventional peripherally inserted central catheter catheterization selected deep venous vessels in the upper limb. Patients with superior vena cava syndrome (SVCS), lower extremity venipuncture is the preferred technique because administering upper extremity venous transfusion to patients with SVCS can exacerbate oedema in the head, neck, and upper extremities. The greater angle of the left lower extremity vein through the common iliac vein into the inferior vena cava and the conundrum that the left side of the femoral vein does not easily enter the inferior vena cava when passing through the common iliac vein, a right lower extremity catheterisation was performed in this case report.