Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report
The number of cases of superior vena cava syndrome (SVCS) increased due to increased cardiac devices and central venous catheters. Management of benign SVCS is still controversial. A 51-year-old male known to have ischemic cardiomyopathy and chronic renal failure on regular hemodialysis. In the last...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320301722 |
| _version_ | 1818896717197606912 |
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| author | Reda Abuelatta, MD Amal A. Sakrana, MD Shadha A. Al-zubaidi, MD Mohammed Abdelhalim, MSc Hesham Abdo Naeim, MD, FASE |
| author_facet | Reda Abuelatta, MD Amal A. Sakrana, MD Shadha A. Al-zubaidi, MD Mohammed Abdelhalim, MSc Hesham Abdo Naeim, MD, FASE |
| author_sort | Reda Abuelatta, MD |
| collection | DOAJ |
| description | The number of cases of superior vena cava syndrome (SVCS) increased due to increased cardiac devices and central venous catheters. Management of benign SVCS is still controversial. A 51-year-old male known to have ischemic cardiomyopathy and chronic renal failure on regular hemodialysis. In the last 12 months, he had progressive shortness of breath and swelling of his upper part of the body. Examination revealed engorgement of the neck veins, facial puffiness, and pitting edema of both upper limbs. Venography showed occluded SVC. We applied a 50 Watt of energy via electrocautery pen to a Hi-Torque 0.014 Astato guidewire to cross the occluded segment retrogradely. We used 2 stents 39 mm, mounted on BIB 20/40 mm. Final angiography revealed full restoration of SVC flow. Diathermy use to cross a chronic total SVC obstruction is feasible and safe. Endovascular techniques are suitable as initial management of benign SVC syndrome. |
| first_indexed | 2024-12-19T19:04:43Z |
| format | Article |
| id | doaj.art-04b07b7e8a574c0eaf6cfafcfc796a24 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-19T19:04:43Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-04b07b7e8a574c0eaf6cfafcfc796a242022-12-21T20:09:28ZengElsevierRadiology Case Reports1930-04332020-08-0115811681172Diathermy-assisted recanalization of chronic superior vena cava obstruction, case reportReda Abuelatta, MD0Amal A. Sakrana, MD1Shadha A. Al-zubaidi, MD2Mohammed Abdelhalim, MSc3Hesham Abdo Naeim, MD, FASE4Madinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah Saudi ArabiaMadinah Cardiac Center, Saudi Arabia and Mansoura University Hospital, EgyptMadinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah Saudi ArabiaMadinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah Saudi ArabiaMadinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah Saudi Arabia; Corresponding author.The number of cases of superior vena cava syndrome (SVCS) increased due to increased cardiac devices and central venous catheters. Management of benign SVCS is still controversial. A 51-year-old male known to have ischemic cardiomyopathy and chronic renal failure on regular hemodialysis. In the last 12 months, he had progressive shortness of breath and swelling of his upper part of the body. Examination revealed engorgement of the neck veins, facial puffiness, and pitting edema of both upper limbs. Venography showed occluded SVC. We applied a 50 Watt of energy via electrocautery pen to a Hi-Torque 0.014 Astato guidewire to cross the occluded segment retrogradely. We used 2 stents 39 mm, mounted on BIB 20/40 mm. Final angiography revealed full restoration of SVC flow. Diathermy use to cross a chronic total SVC obstruction is feasible and safe. Endovascular techniques are suitable as initial management of benign SVC syndrome.http://www.sciencedirect.com/science/article/pii/S1930043320301722Superior vena cavaDiathermyVenous obstructionStenting |
| spellingShingle | Reda Abuelatta, MD Amal A. Sakrana, MD Shadha A. Al-zubaidi, MD Mohammed Abdelhalim, MSc Hesham Abdo Naeim, MD, FASE Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report Radiology Case Reports Superior vena cava Diathermy Venous obstruction Stenting |
| title | Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report |
| title_full | Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report |
| title_fullStr | Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report |
| title_full_unstemmed | Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report |
| title_short | Diathermy-assisted recanalization of chronic superior vena cava obstruction, case report |
| title_sort | diathermy assisted recanalization of chronic superior vena cava obstruction case report |
| topic | Superior vena cava Diathermy Venous obstruction Stenting |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320301722 |
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