Cargando…

Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome

Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoa...

Descripción completa

Detalles Bibliográficos
Autores principales: Agrawal, Yashwant, Nazroo, Jean-Yves R., Jena, Nihar, Marceau, Vince, Zoltowska, Dominika, DeGregorio, Michele, Patel, Kirit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288710/
https://www.ncbi.nlm.nih.gov/pubmed/34316935
http://dx.doi.org/10.1016/j.jaccas.2019.11.008
_version_ 1783724140570607616
author Agrawal, Yashwant
Nazroo, Jean-Yves R.
Jena, Nihar
Marceau, Vince
Zoltowska, Dominika
DeGregorio, Michele
Patel, Kirit
author_facet Agrawal, Yashwant
Nazroo, Jean-Yves R.
Jena, Nihar
Marceau, Vince
Zoltowska, Dominika
DeGregorio, Michele
Patel, Kirit
author_sort Agrawal, Yashwant
collection PubMed
description Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoagulation, angioplasty, and thrombectomy but resolved with ultrasound-assisted catheter directed thrombolysis. (Level of Difficulty: Intermediate.)
format Online
Article
Text
id pubmed-8288710
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-82887102021-07-26 Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome Agrawal, Yashwant Nazroo, Jean-Yves R. Jena, Nihar Marceau, Vince Zoltowska, Dominika DeGregorio, Michele Patel, Kirit JACC Case Rep Case Report Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoagulation, angioplasty, and thrombectomy but resolved with ultrasound-assisted catheter directed thrombolysis. (Level of Difficulty: Intermediate.) Elsevier 2019-12-18 /pmc/articles/PMC8288710/ /pubmed/34316935 http://dx.doi.org/10.1016/j.jaccas.2019.11.008 Text en © 2019 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Agrawal, Yashwant
Nazroo, Jean-Yves R.
Jena, Nihar
Marceau, Vince
Zoltowska, Dominika
DeGregorio, Michele
Patel, Kirit
Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_full Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_fullStr Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_full_unstemmed Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_short Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_sort successful catheter-directed thrombolysis of massive bilateral upper extremity dvt presenting as superior vena cava syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288710/
https://www.ncbi.nlm.nih.gov/pubmed/34316935
http://dx.doi.org/10.1016/j.jaccas.2019.11.008
work_keys_str_mv AT agrawalyashwant successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT nazroojeanyvesr successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT jenanihar successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT marceauvince successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT zoltowskadominika successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT degregoriomichele successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome
AT patelkirit successfulcatheterdirectedthrombolysisofmassivebilateralupperextremitydvtpresentingassuperiorvenacavasyndrome