Point-of-care ultrasound in early detection of superior vena cava syndrome

Rueda, María del Mar Arcos; Álvarez-Troncoso, Jorge; Tung‐Chen, Yale; Villegas, Tomás Villén

doi:10.1016/j.medcli.2019.06.010

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2020

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“…There are minimal data in the literature regarding the role of US in SVCS, with only few case reports published in emergency settings using POCUS. These cases showed bilateral IJ vein thrombosis and speculated about a proximal vein obstruction (SVC thrombosis) 6,7 . Our literature review yielded no case describing the point‐of‐care use of Doppler examination in cases with patent IJ veins, or using the SVC view, or even demonstrating mediastinal masses in the SVC region with US as in our case, which highlight the use of POCUS to its full potential.…”

Section: Discussionmentioning

confidence: 67%

See 1 more Smart Citation

Superior vena cava obstruction and mediastinal mass detected by point‐of‐care ultrasonography

Blanco¹,

Esteban²,

Leonardi³

2020

J of Clinical Ultrasound

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Superior vena cava syndrome (SVCS) often relates to malignant causes such as lung tumors, metastatic cancer, or lymphomas. While the diagnosis relies nowadays on the use of contrast-enhanced thoracic computed tomography, ultrasonography may have an important value as a first-line imaging technique, particularly when used in point-of-care office-based settings. Here, we report the case of a 67-year-old male presenting with SVCS in whom ultrasound contributed to diagnosis.

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Section: Discussionmentioning

confidence: 67%

“…Differential diagnoses to consider include hypervolemia, heart failure, or pericardial tamponade. Bilateral IJ vein thrombosis may indicate an SVC thrombosis, 6,7 a finding closely related to catheters or pacing/defibrillator leads.…”

Section: Discussionmentioning

confidence: 99%