Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29875993
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Thrombogenic superior vena cava syndrome from long-standing central venous access
in a 5-year-old patient treated with balloon-expandable stents
#MMPMID29875993
Ji D
; Gill AE
; Ermentrout RM
; Hawkins CM
J Radiol Case Rep
2018[Apr]; 12
(4
): 15-22
PMID29875993
show ga
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.
|*Stents
[MESH]
|Angiography, Digital Subtraction
[MESH]
|Catheterization, Central Venous/*adverse effects
[MESH]
free
free
free
