NDLI: Thrombogenic superior vena cava syndrome from long-standing central venous access in a 5-year-old patient treated with balloon-expandable stents.

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Thrombogenic superior vena cava syndrome from long-standing central venous access in a 5-year-old patient treated with balloon-expandable stents.

Content Provider	Semantic Scholar
Author	Ji, Dabin Gill, Anne Elizabeth Ermentrout, Robert Mitchell Hawkins, C. Matthew
Copyright Year	2018
Abstract	Thrombogenic superior vena cava syndrome is an uncommon, dangerous complication of long-standing central venous catheter use. The increased use of central venous catheters has resulted in more non-malignant cases of superior vena cava syndrome across all age groups. We present a 5-year-old male with superior vena cava syndrome associated with acute onset of severe upper extremity and facial swelling, dyspnea, and a right subclavian central venous catheter malfunction. The patient was ultimately treated with percutaneous stenting of the superior vena cava with balloon-expandable Palmaz stents following unsuccessful angioplasty, catheter-directed thrombolysis, and percutaneous thrombectomy. This case highlights a relatively uncommon complication in children from long-term central venous catheter access and describes an emerging, minimally-invasive therapeutic alternative that allows for preservation of age-appropriate superior vena cava luminal diameter as patients grow.
Starting Page	15
Ending Page	22
Page Count	8
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.ivteam.com/intravenous-literature/thrombogenic-superior-vena-cava-syndrome-from-long-standing-central-venous-access/?pdf=45374
Alternate Webpage(s)	http://www.radiologycases.com/index.php/radiologycases/article/viewFile/3339/pdf
PubMed reference number	29875993v1
Alternate Webpage(s)	https://doi.org/10.3941/jrcr.v12i4.3339
DOI	10.3941/jrcr.v12i4.3339
Journal	Journal of radiology case reports
Volume Number	12
Issue Number	4
Language	English
Access Restriction	Open
Subject Keyword	CNS disorder Central venous catheter, device Diameter (qualifier value) Dyspnea Facial edema Intravenous Catheters Patients Stent, device Structure of vein of trunk Superior Vena Cava Syndrome Superior vena cava structure Thrombectomy Thrombolysis, function Upper Extremity Vena Cava Filters therapeutic - generic - SubstanceAdminSubstitution
Content Type	Text
Resource Type	Article

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