Collar of Stokes Syndrome associated with the use of a double-lumen catheter for hemodialysis
Keywords:
catheter, edema, hemodialysis.Abstract
Introduction: Collar of Stokes is part of the clinical picture of Superior Vena Cava Syndrome. Patients who require hemodialysis need vascular access by placing a double-lumen catheter in the jugular or subclavian veins, which, when used for long periods of time, can favor the appearance of face/neck edema.Objective: To present a patient on hemodialysis with collar of Stokes edema, taking into account that it is a rarely discussed cause of edema.
Clinical case: Male patient, 26 years old, black skin color, apparent health history who arrives at the emergency room with a hypertensive emergency. Complementary tests showed elevated blood creatinine and urea with renal ultrasound showing small kidneys; He was considered a patient with chronic renal failure. Periodic intermittent hemodialysis treatment was started, which was maintained for 29 months until the time of evaluation. With multiple double-lumen catheters to receive the cleansing treatment, he developed gradual volume increase in his facial and neck region.
Conclusion: The use of double-lumen catheters for hemodialysis can favor the appearance of collar of Stokes edema; which may be seen more frequently due to the accessibility of patients with stage 5 chronic kidney disease to conventional hemodialysis.
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References
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4. Palleja E, Lopez M, Jimenez PL. Cateteres venosos de inserción periférica (PICC): Un avance en las terapias intravenosas de larga permanencia. Nutr Clin Med. 2017 [acceso: 31/07/2023]; XI (2): 114-27. Disponible en: http://www.aulamedica.es/nutricionclinicamedicina/pdf/5053.pdf
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6. Jabif F, Ferraris A, Pollán J. Síndrome de vena cava superior: una serie de casos consecutivos en pacientes internados en un hospital terciario universitario. Rev Hosp. Ital. B. Aires. 2022; 42(1): 29-36. DOI: 10.51987/revhospitalbaires.v42i1.141
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8. Vergara Labrín MA, Guevara Cruz MA, Aste Salazar H, delgado Salazar AN. Síndrome de la vena cava superior por trombosis de catéter venoso central: Caso Clínico. Rev Fac Med Hum. 2022 [acceso: 31/07/2023]; 22(3): 637-41. Disponible en: https://revistas.urp.edu.pe/index.php/RFMH/article/view/4323
9. Capote-Leyva E, Argudín-Selier R, Mora-González S, Capote-Pereira L, Leonard-Rupalé I, Moret-Hernández Y. Evaluación de la calidad de vida relacionada con salud en pacientes en hemodiálisis periódica utilizando el KDQOL-SFTM. Medisur. 2015 [acceso: 15/08/2023]; 13(4):[aprox. 8 pant.].Disponible en: https://medisur.sld.cu/index.php/medisur/article/view/2789
Published
2024-05-31
How to Cite
1.
Capote Leyva E, Chilundulo Jorge A. Collar of Stokes Syndrome associated with the use of a double-lumen catheter for hemodialysis. Rev Cubana Med Milit [Internet]. 2024 May 31 [cited 2025 May 30];53(2):e024018272. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/18272
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