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Background: Left innominatevein occlusion is a known complication of pacemaker and central venous catheter placement.
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The left innominatevein crosses the artery in front from left to right, and must be drawn down.
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Multiple attempts to percutaneously cross the left innominatevein were unsuccessful and the patient was referred for surgical intervention.
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The presence of significant left innominatevein stenosis and tip location of the catheter was evaluated on chest computed tomography images.
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Purpose:: To evaluate the effect of catheter diameter on left innominatevein stenosis in breast cancer patients after placement of totally implantable venous access ports.
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Difference in the cumulative incidence of left innominatevein stenosis was statistically significant between the two groups (log rank test p-value: 0.002).
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Contrast-enhanced CT demonstrated the lesion encroached and obstructed bilateral innominateveins and superior vena cava.
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Diagnoses: The patient was diagnosed as stage-2 secondary lymphedema caused by idiopathic occlusion of the subclavian and innominateveins.