Endovascular port-a-cath rescue in acute thrombotic superior vena cava syndrome.

Amberger, Hanno; Baumgartner, Iris; Kucher, Nils; Schindewolf, Marc (2019). Endovascular port-a-cath rescue in acute thrombotic superior vena cava syndrome. Journal of vascular surgery cases and innovative techniques, 5(2), pp. 169-173. Elsevier 10.1016/j.jvscit.2019.03.005

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Acute superior vena cava (SVC) syndrome is managed by endovascular recanalization, venoplasty with stenting, and anticoagulation. It is often associated with central venous catheters. We present a case of a 55-year-old woman with acute SVC syndrome due to port-a-cath-associated thrombosis of the SVC and the brachiocephalic and subclavian veins who was treated with catheter-based thrombectomy and local spray thrombolysis, venoplasty, and stent placement. Port-a-cath restoration was achieved in the same session by endovascular snaring and repositioning. This case demonstrates that reoperation with surgical catheter removal and reinsertion of central venous catheters with possible complications (eg, rethrombosis, bleeding) can be avoided by single-session endovascular management.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Angiology

UniBE Contributor:

Amberger, Hanno; Baumgartner, Iris and Schindewolf, Marc

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2468-4287

Publisher:

Elsevier

Language:

English

Submitter:

Catherine Gut

Date Deposited:

24 Jan 2020 17:26

Last Modified:

24 Jan 2020 17:34

Publisher DOI:

10.1016/j.jvscit.2019.03.005

PubMed ID:

31193522

Uncontrolled Keywords:

Catheter-directed thrombolysis Port-a-cath snaring Port-a-cath-associated thrombosis Superior vena cava syndrome Upper extremity venous thrombosis

BORIS DOI:

10.7892/boris.137603

URI:

https://boris.unibe.ch/id/eprint/137603

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