Erschienen in:
01.04.2015 | Case Report
Rapid guiding catheter swapping for management of rupture during percutaneous venoplasty for idiopathic occlusion of superior vena cava
verfasst von:
Bhagya Narayan Pandit, Vivek Chaturvedi, Neeraj Parakh, Sandeep Gade, Vijay Trehan
Erschienen in:
Cardiovascular Intervention and Therapeutics
|
Ausgabe 2/2015
Einloggen, um Zugang zu erhalten
Abstract
Treatment for superior vena cava syndrome (SVCS) by percutaneous interventions has become established as a definitive therapy. However, there is a significant risk of rupture during SVC intervention. We describe an uncommon case that developed SVC rupture during percutaneous intervention for idiopathic SVCS. This was managed successfully with pericardiocentesis and rapid implantation of covered stent in SVC by rapid guiding catheter swapping technique. This, however, led to inadvertent obstruction of left innominate vein which was successfully treated by kissing balloon inflation. At 18-month follow-up, he is asymptomatic with a well apposed patent stent-graft in the SVC.