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Author Notes:

Correspondence: Clifford Matthew Hawkins, 1364 Clifton Rd NE, Suite D112, Atlanta, GA 30322, USA, matt.hawkins@emory.edu

Subjects:

Keywords:

  • balloon-expandable stents
  • long-standing central venous access
  • pediatric interventional radiology
  • percutaneous venous stenting
  • superior vena cava syndrome
  • Angiography, Digital Subtraction
  • Catheterization, Central Venous
  • Child, Preschool
  • Diagnosis, Differential
  • Humans
  • Male
  • Radiography, Interventional
  • Stents
  • Superior Vena Cava Syndrome
  • Thrombectomy
  • Ultrasonography

Thrombogenic superior vena cava syndrome from long-standing central venous access in a 5-year-old patient treated with balloon-expandable stents

Tools:

Journal Title:

Journal of Radiology Case Reports

Volume:

Volume 12, Number 4

Publisher:

, Pages 15-22

Type of Work:

Article | Final Publisher PDF

Abstract:

Thrombogenic superior vena cava syndrome is an uncommon, dangerous complication of long-standing central venous catheter use. The increased use of central venous catheters has resulted in more non-malignant cases of superior vena cava syndrome across all age groups. We present a 5-year-old male with superior vena cava syndrome associated with acute onset of severe upper extremity and facial swelling, dyspnea, and a right subclavian central venous catheter malfunction. The patient was ultimately treated with percutaneous stenting of the superior vena cava with balloon-expandable Palmaz stents following unsuccessful angioplasty, catheter-directed thrombolysis, and percutaneous thrombectomy. This case highlights a relatively uncommon complication in children from long-term central venous catheter access and describes an emerging, minimally-invasive therapeutic alternative that allows for preservation of age-appropriate superior vena cava luminal diameter as patients grow.

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