NDLI: Endovascular recanalization of a port catheter-associated superior vena cava syndrome.

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Endovascular recanalization of a port catheter-associated superior vena cava syndrome.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tonak, Julia Fetscher, Sebastian Barkhausen, Jörg Goltz, Jan Peter
Description	Author Affiliation: Tonak J ( 1 Department of Radiology, Neuroradiology and Nuclear Medicine, University Hospital of Schleswig-Holstein, Campus Lübeck - Germany.)
Abstract	PURPOSE: Superior vena cava (SVC) syndrome owing to benign etiology is rare and endovascular techniques have been advocated as the treatment of choice. We report a case of endovascular revascularization of a port catheter-associated complete occlusion of the SVC with reversed flow in the azygos vein. METHODS: In this setting using a sheath in combination with its dilatator to pass the occlusion of the SVC after neither a diagnostic catheter nor a PTA balloon would pass the lesion may be a valid option. A dual venous approach was established using the right common femoral vein and an indwelling port catheter in the right cephalic vein to dilate and stent the lesion. Finally, a port may be implanted after the revascularization had been successful. RESULTS: Passage through the port catheter-associated occlusion of the SVC was only possible by use of the sheath in combination with its dilatator. A dual venous access by the femoral approach and the indwelling central catheter is helpful in treating a SVC occlusion. CONCLUSIONS: Long-term central venous catheters may cause SVC syndrome, especially with a catheter tip located too far cranially. An endovascular revascularization of a complete occlusion of the SVC represents the therapy of choice.
File Format	HTM / HTML
ISSN	11297298
Issue Number	5
Volume Number	16
e-ISSN	17246032
Journal	The Journal of Vascular Access
Language	English
Publisher	Sage Publications
Publisher Date	2015-09-01
Publisher Place	Italy
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Vascular Diseases Antineoplastic Agents Administration & Dosage Catheterization, Central Venous Instrumentation Central Venous Catheters Endovascular Procedures Lymphoma, B-cell Drug Therapy Superior Vena Cava Syndrome Therapy Vena Cava, Superior Administration, Intravenous Aged Azygos Vein Physiopathology Adverse Effects Device Removal Equipment Design Humans Male Phlebography Regional Blood Flow Diagnosis Etiology Treatment Outcome Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Surgery Nephrology

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