中心静脉导管致上腔静脉综合征的血管内处理。

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2024-12-05 DOI:10.1177/11297298241303191

Brigitte Anderson, Vashisht Madabhushi, Alison Flentje, Javaneh Jabbari, Mirnal Chaudhary, Joel Harding, Khanjan Nagarsheth

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引用次数: 0

摘要

本病例系列描述了3例导管相关上腔静脉（SVC）综合征患者的血管内处理。SVC综合征可由恶性（60%）或良性（40%）病因引起。良性SVC综合征最常见的原因是留置中心静脉导管（CVCs），分别占患者的1%-3%和0.2%-3.3%。在所有病例中，使用机械取栓装置排出慢性和急性血栓，然后进行球囊血管成形术和SVC支架置入术。顺行血流和快速症状解决后实现的程序。手术前后无并发症发生。这些病例证明了导管相关SVC综合征的血管内治疗的可行性。

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Endovascular management of central venous catheter induced superior vena cava syndrome.

This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies. The most common causes of benign SVC syndrome are indwelling central venous catheters (CVCs) with 1%-3% and 0.2%-3.3% of patients being affected. In all cases, a mechanical thrombectomy device was used to evacuate the chronic and acute thrombus, followed by a balloon angioplasty and stenting of the SVC. Anterograde flow and rapid symptom resolution was achieved following the procedure. No peri- or postprocedural complications occurred. These cases demonstrate the feasibility of endovascular management of catheter-associated SVC syndrome.

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.