Catheter‐directed Thrombolysis in Acute Superior Vena Cava Syndrome Caused by Central Venous Catheters

Cui, Jie; Kawai, T; Irani, Zubin

doi:10.1111/sdi.12362

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…The dilemma of placing a central venous access after SVC stenting is all-too-common as SVC thrombosis and occlusion is known to occur as direct result of central venous catheters. 41,42 However, Clark et al demonstrated that in 33 patients, there was no significant difference in symptomatic central venous stent occlusion or asymptomatic in-stent stenosis as a result of a central venous catheter placed at the same time as SVC stenting in the setting of malignancy. 43…”

Section: Treatment Of Superior Vena Cava Syndromementioning

confidence: 99%

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Friedman

Quencer

Kishore

et al. 2017

Semin intervent Radiol

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Venous obstruction in the cancer population can result in substantial morbidity and, in extreme cases, mortality. While venous obstruction can be caused by both benign and malignant etiologies in this population, the management of malignant venous obstruction as a palliative measure can be somewhat nuanced with respect to nonprocedural and procedural management, both with respect to treatment of the underlying malignancy as well as treatment of venous hypertension, which may be associated with venous thrombosis. Symptom severity, primary malignancy, functional status, and prognosis are all fundamental to the patient workup and dictate both the timing and extent of endovascular intervention. The morbidity and mortality associated with malignant obstructions of central venous structures, specifically the superior vena cava and inferior vena cava, can be significantly improved with endovascular management in appropriately selected patients. Thus, the pertinent literature regarding the clinical presentation, workup, and endovascular management of malignant central venous obstruction syndromes, with directed attention to superior vena cava syndrome and inferior vena cava syndrome, will be reviewed in this article.

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Section: Treatment Of Superior Vena Cava Syndromementioning

confidence: 99%

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Friedman

Quencer

Kishore

et al. 2017

Semin intervent Radiol

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“…The reason is important because the treatment is shaped according to the reason. Removal of the catheter, anticoagulant, even thrombolytic treatment, percutaneous intervention could be the suitable treatment [6,7]. In our case patient relieved by removing the catheter so no any other procedure needed.…”

Section: Discussionmentioning

confidence: 65%

Superior vena cava syndrome after creation of arteriovenous fistula

Akgül¹,

Erkul²,

Erkul³

et al. 2017

The European Research Journal

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Patients with end-stage renal disease require vascular access for hemodialysis. Repeated insertions and longterm duration of permanent central venous catheters may cause venous stenosis and thrombosis in central veins, which may result in superior vena cava syndrome. A 38-year-old male patient with end-stage renal disease was admitted with complaint of dyspnea, edema of the face, neck and bilateral upper extremities. We had created a radiocephalic arteriovenous fistula at the level of left wrist two weeks ago, he had a permanent catheter in the right internal jugular vein for 2 months. The Doppler ultrasound and venographic examinations of central veins showed that the permanent catheter in the right internal jugular vein had caused the edema of the neck, face and bilateral upper extremities by narrowing the superior vena cava. The catheter was removed and the patient was anticoagulated. The patient's symptoms of shortness of breath were alleviated on hospital discharge and the swelling of the upper extremities diminished after one week. The hemodialysis patients should be directed to arteriovenous fistula surgery instead of central venous catheterization as soon as possible to avoid superior vena cava syndrome due to central venous catheters.

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“…71% of cases of non-malignant SVC syndrome have been attributed to intravascular devices, most commonly Port-a-Cath systems and dialysis catheters. The vast majority of benign SVC case reports in the literature report a thrombus associated with the indwelling line as the inciting factor 3–7 . The reported prevalence of central vein thrombosis with intravascular devices ranges from 5-42% while reports indicate that 1-14% of patients with these devices go on to develop SVC syndrome 1 .…”

Section: Discussionmentioning

confidence: 99%

“…The reported prevalence of central vein thrombosis with intravascular devices ranges from 5-42% while reports indicate that 1-14% of patients with these devices go on to develop SVC syndrome 1 . The majority of reported CVC-associated SVC syndromes in the literature manifested clinically between post- insertion day 1 to 8 and generally exhibited prolonged resolution phase 3–8 .…”

Section: Discussionmentioning

confidence: 99%

Hyperacute Superior Vena Cava Syndrome associated with Central Venous Catheter Insertion

Edginton

Fundytus

2019

Indian Journal of Critical Care Medicine

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Superior vena cava (SVC) syndrome is classically thought of as a complication of malignancy. However, SVC syndrome secondary to indwelling central venous catheters (CVCs) is another important entity. Amongst those with CVCs who develop SVC syndrome, the majority are attributed to thrombosis. Aside from thrombosis, CVCs can lead to SVC syndrome secondary to mechanical obstruction of blood flow in an already narrowed vessel. We present the first case of hyperacute SVC syndrome that developed within 6 hours of insertion of a CVC into a patient's right internal jugular vein alongside a pre-existing right internal jugular tunnelled dialysis line. With removal of the line, the patient's symptoms resolved completely within hours. The patient also was found to have stenosis of superior vena cava, likely secondary to multiple instrumentations. Physicians must be diligent to monitor for this complication in patients who have had previous instrumentations of major vessels when inserting CVCs. How to cite this article Edginton S, Fundytus A. Hyperacute Superior Vena Cava Syndrome associated with Central Venous Catheter Insertion. Indian J Crit Care Med 2019;23(3):152-154.

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Catheter‐directed Thrombolysis in Acute Superior Vena Cava Syndrome Caused by Central Venous Catheters

Cited by 8 publications

References 10 publications

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Superior vena cava syndrome after creation of arteriovenous fistula

Hyperacute Superior Vena Cava Syndrome associated with Central Venous Catheter Insertion

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