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10.3941/jrcr.v12i4.3339

http://scihub22266oqcxt.onion/10.3941/jrcr.v12i4.3339
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C5965290!5965290!29875993
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suck abstract from ncbi


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pmid29875993      J+Radiol+Case+Rep 2018 ; 12 (4): 15-22
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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 #MMPMID29875993
  • Ji D; Gill AE; Ermentrout RM; Hawkins CM
  • J Radiol Case Rep 2018[Apr]; 12 (4): 15-22 PMID29875993show 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.
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