Superior vena cava syndrome. Its association with indwelling balloon-tipped pulmonary artery catheters

Gore, J. M.

doi:10.1001/archinte.144.3.506

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…The use of CVL and its role in the thrombosis of the great veins of the thorax (10,11,17,18) became apparent in chronically ill patients, particularly those with end-stage renal disease (19). In our study, 25% of the patients had CVL and PVL, whereas in Otten's study (5), 65% had CVL.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Thromboembolic Disease IncludingSuperior Vena Cava and Brachiocephalic Veins

Oymak

Büyükoğlan

Tokgöz

et al. 2005

Clin Appl Thromb Hemost

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Thrombosis of the brachiocephalic veins or superior vena cava (SVC) is rare. This study was conducted to determine the prevalence and characteristics of thrombosis of brachiocephalic veins and SVC , and its association with symptomatic pulmonary embolism (PE). The prevalence of thrombosis involving the brachiocephalic veins and SVC was evaluated retrospectively at a university hospital during the 3-year period. Patients were identified by hospital records and review of computer-generated lists of of all venograms, contrast-enhanced chest computed tomography, and magnetic resonance angiograms of the upper extremity and SVC. Thrombosis of the brachiocephalic veins and SVC was diagnosed in 33 (0.03 %) of 100,942 patients of all ages [(32 of 70,751 adult patients >or= 20 years; 0.04%)]. Twenty-three (70%) patients initially had secondary thrombosis with multiple risk factors: associated with malignancy in 14 (42%) patients, chronic disorders in 13 (39%) patients, central venous lines (CVL) and peripheral venous lines (PVL) in 9 (27%) patients, and thrombophilia in 10 (38%) of 26 patients. Swelling of the arm, head, and neck was present in 32 (97%) patients. Symptomatic PE developed before thrombosis being treated in 12 (36%) patients. All patients except eight (three, thrombolytic; five, thrombectomy) received anticoagulant therapy. Thrombosis of the SVC and brachiocephalic veins is an uncommon but serious complication in patients with malignancy, chronic disorders, CVL, PVL, and thrombophilia. Because it is important clinical problem with frequent PE, the patients with appropriate clinical findings should be diagnosed early with imaging tests and treated with anticoagulant drugs.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Thromboembolic Disease IncludingSuperior Vena Cava and Brachiocephalic Veins

Oymak

Büyükoğlan

Tokgöz

et al. 2005

Clin Appl Thromb Hemost

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“…Aseptic thrombotic endocarditis has been reported and probably occurs secondary to trauma to the endocardium [19,21,25,26]. Venous thrombosis often occurs in the vein through which the catheter passes and may rarely result in superior vena cava syndrome [27]. In a postmortem study of 55 patients who had undergone flow-directed pulmonary artery catheterization, 29 patients (53%) had one or more right-sided endocardial lesions, including subendocardial hemorrhage, thrombi, and infective endocarditis [28].…”

Section: Swan-ganz Cathetermentioning

confidence: 99%

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

Gold

Rios²

1987

J Intensive Care Med

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Gold RL, Rios JC. latrogenic cardiovascular disease secondary to diagnostic and therapeutic procedures. J Intensive Care Med 1987;2:49-60.The number of diagnostic and therapeutic procedures performed in cardiology continues to grow. These procedures are generally considered safe or of minimal risk to the patient. However, it is important to remember that significant complications may occur, and in each patient the risk: benefit ratio must be carefully weighed.In this review, the complications documented in the medical literature resulting from the use of cardiologic interventions and procedures are discussed. A thorough knowledge of these complications and their precipitating factors can help minimize the risk to the patient.

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Malignant Superior Vena Cava Syndrome

López¹,

Vincent²

1986

Cancer and the Heart

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Superior vena cava syndrome. Its association with indwelling balloon-tipped pulmonary artery catheters

Cited by 5 publications

References 3 publications

Prevalence of Thromboembolic Disease IncludingSuperior Vena Cava and Brachiocephalic Veins

Prevalence of Thromboembolic Disease IncludingSuperior Vena Cava and Brachiocephalic Veins

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

Malignant Superior Vena Cava Syndrome

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