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

Quaretti, Pietro; Galli, F.; Moramarco, Lorenzo Paolo; Corti, Riccardo; Leati, Giovanni; Fiorina, Ilaria; Maestri, Marcello

doi:10.3348/kjr.2014.15.3.364

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…Intrinsic causes include long-standing CVCs, transvenous pacemakers, and postoperative or postradiation effects. Long-standing CVCs can cause intimal irritation and inflammation, leading to intimal hyperplasia (36). Severe narrowing and/or occlusion can give rise to SVC syndrome, which is characterized by swelling of the upper extremities, neck, and face secondary to impaired venous return.…”

Section: Svc Aneurysmmentioning

confidence: 99%

Comprehensive Imaging Review of the Superior Vena Cava

Sonavane¹,

Milner²,

Singh³

et al. 2015

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The superior vena cava (SVC) is the largest central systemic vein in the mediastinum. Imaging (ie, radiography, computed tomography [CT], magnetic resonance [MR] venography, and conventional venography) plays an important role in identifying congenital variants and pathologic conditions that affect the SVC. Knowledge of the basic embryology and anatomy of the SVC and techniques for CT, MR imaging, and conventional venography are pivotal to accurate diagnosis and clinical decision making. Congenital anomalies such as persistent left SVC, partial anomalous pulmonary venous return, and aneurysm are asymptomatic and may be discovered incidentally in patients undergoing imaging evaluation for associated cardiac abnormalities or other indications. Familiarity with congenital abnormalities is important to avoid image misinterpretation. Acquired abnormalities such as intrinsic and extrinsic strictures, fibrin sheath, thrombus, primary neoplasms, and trauma can produce mild narrowing to complete occlusion, the latter leading to SVC syndrome. Each imaging modality plays a role in evaluation of the SVC, helping to determine the site, extent, and cause of pathologic conditions and guide appropriate management. Commonly performed interventional procedures for fibrin sheath and benign and malignant strictures include low-dose thrombolytic infusion, fibrin sheath disruption, venous angioplasty, and stent placement.

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Section: Svc Aneurysmmentioning

confidence: 99%

Comprehensive Imaging Review of the Superior Vena Cava

Sonavane¹,

Milner²,

Singh³

et al. 2015

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119

102

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“…Since 2000, evidence has been accumulating regarding a progressive shift from internal VA to CVC (3). A concurrent increase of clinical complications, such as septicemia, spondylosis, central venous thrombosis, and inadequate dialysis delivery, was reported by many centers (4, 5).…”

Section: Introductionmentioning

confidence: 99%

Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013)

Bonucchi

Palmieri²,

Arletti

et al. 2016

J Vasc Access

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The variability in CVC utilization among centers suggests the lack of a shared policy in patients and access coupling. Quantitative criteria should be used to reduce inappropriate strategy in vascular access creation. Since this activity in Italy is organized at a local level without a shared organizational model, we should inquire whether a system managed so well in the past should now be rebuilt on the model of organ transplantation.

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“…Expansive tumor growth leads to a narrowing and eventually total occlusion of the superior vena cava (SVC). Failure of a central line may also occur or exacerbate due to thrombus formation in patients in patients with central venous catheters (CVC) ( 3 , 4 ). Hence, an occlusion of a central dialysis catheter (CDC) constitutes a potential medical emergency.…”

Section: Introductionmentioning

confidence: 99%

Single-phase bilateral low dose contrast medium injection for diagnosing occlusions of the thoracic venous system: a case report

Svensson

Brismar

Morsbach

2018

Acta Radiologica Open

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Occlusion of the thoracic venous system and/or occlusion of central venous catheters (CVC) of unknown cause can, in selected cases, require advanced imaging. Here, we describe a case study of a patient with a failing central dialysis catheter (CDC) which was diagnosed by computed tomography (CT) in connection with a single-phase bilateral low-dose contrast medium (CM) injection using only 3.6 g of iodine. By injecting a low CM dose, the risk of streak artifacts from first-pass of high intravascular concentrations of CM can be avoided. Therefore, the technique described here should be beneficial also to patients with normal renal function.

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

Cited by 9 publications

References 9 publications

Comprehensive Imaging Review of the Superior Vena Cava

Comprehensive Imaging Review of the Superior Vena Cava

Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013)

Single-phase bilateral low dose contrast medium injection for diagnosing occlusions of the thoracic venous system: a case report

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