DOI QR코드

DOI QR Code

Dialysis Catheter-Related Superior Vena Cava Syndrome with Patent Vena Cava: Long Term Efficacy of Unilateral Viatorr Stent-Graft Avoiding Catheter Manipulation

  • Quaretti, Pietro (Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation) ;
  • Galli, Franco (Nephrology and Dialysis, IRCCS Fondazione Salvatore Maugeri) ;
  • Moramarco, Lorenzo Paolo (Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation) ;
  • Corti, Riccardo (Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation) ;
  • Leati, Giovanni (Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation) ;
  • Fiorina, Ilaria (Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation) ;
  • Maestri, Marcello (Department of General Surgery, IRCCS Policlinico San Matteo Foundation)
  • Received : 2013.11.28
  • Accepted : 2014.02.23
  • Published : 2014.06.01

Abstract

Central venous catheters are the most frequent causes of benign central vein stenosis. We report the case of a 79-year-old woman on hemodialysis through a twin catheter in the right internal jugular vein, presenting with superior vena cava (SVC) syndrome with patent SVC. The clinically driven endovascular therapy was conducted to treat the venous syndrome with a unilateral left brachiocephalic stent-graft without manipulation of the well-functioning catheter. The follow-up was uneventful until death 94 months later.

Keywords

References

  1. Agarwal AK. Central vein stenosis. Am J Kidney Dis 2013;61:1001-1015 https://doi.org/10.1053/j.ajkd.2012.10.024
  2. Riutta JC, Cheville AL, Trerotola SO. SVC syndrome with a patent SVC: treatment of internal jugular venous occlusion after surgical and radiation therapy of esophageal cancer. J Vasc Interv Radiol 2005;16:727-731 https://doi.org/10.1097/01.RVI.0000159749.372.30.F2
  3. III. NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000. Am J Kidney Dis 2001;37(1 Suppl 1):S137-S181 https://doi.org/10.1016/S0272-6386(01)70007-8
  4. Anaya-Ayala JE, Smolock CJ, Colvard BD, Naoum JJ, Bismuth J, Lumsden AB, et al. Efficacy of covered stent placement for central venous occlusive disease in hemodialysis patients. J Vasc Surg 2011;54:754-759 https://doi.org/10.1016/j.jvs.2011.03.260
  5. Kundu S, Modabber M, You JM, Tam P, Nagai G, Ting R. Use of PTFE stent grafts for hemodialysis-related central venous occlusions: intermediate-term results. Cardiovasc Intervent Radiol 2011;34:949-957 https://doi.org/10.1007/s00270-010-0019-4
  6. Verstandig AG, Berelowitz D, Zaghal I, Goldin I, Olsha O, Shamieh B, et al. Stent grafts for central venous occlusive disease in patients with ipsilateral hemodialysis access. J Vasc Interv Radiol 2013;24:1280-1287; quiz 1288 https://doi.org/10.1016/j.jvir.2013.04.016
  7. Jones RG, Willis AP, Jones C, McCafferty IJ, Riley PL. Longterm results of stent-graft placement to treat central venous stenosis and occlusion in hemodialysis patients with arteriovenous fistulas. J Vasc Interv Radiol 2011;22:1240-1245 https://doi.org/10.1016/j.jvir.2011.06.002
  8. Isfort P, Penzkofer T, Goerg F, Mahnken AH. Stenting of the superior vena cava and left brachiocephalic vein with preserving the central venous catheter in situ. Korean J Radiol 2011;12:629-633 https://doi.org/10.3348/kjr.2011.12.5.629
  9. Stockx L, Raat H, Donck J, Wilms G, Marchal G. Repositioning and leaving in situ the central venous catheter during percutaneous treatment of associated superior vena cava syndrome: a report of eight cases. Cardiovasc Intervent Radiol 1999;22:224-226 https://doi.org/10.1007/s002709900371
  10. Garcia-Pagan JC, Caca K, Bureau C, Laleman W, Appenrodt B, Luca A, et al. Early use of TIPS in patients with cirrhosis and variceal bleeding. N Engl J Med 2010;362:2370-2379 https://doi.org/10.1056/NEJMoa0910102

Cited by

  1. Case Report: Unilateral Conduction Hearing Loss due to Central venous Occlusion vol.17, pp.3, 2016, https://doi.org/10.5301/jva.5000548
  2. Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013) vol.17, pp.5, 2016, https://doi.org/10.5301/jva.5000575
  3. Single-phase bilateral low dose contrast medium injection for diagnosing occlusions of the thoracic venous system: a case report vol.7, pp.6, 2018, https://doi.org/10.1177/2058460118778060
  4. A Route Less Traveled: Anomalous Venous Drainage of the Right Heart vol.10, pp.9, 2014, https://doi.org/10.7759/cureus.3339
  5. Superior Vena Cava Syndrome vol.13, pp.24, 2020, https://doi.org/10.1016/j.jcin.2020.08.038