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Title: Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases

Abstract

Purpose: To describe a combined procedure of repositioning and leaving in situ a central venous catheter followed by immediate percutaneous treatment of associated superior vena cava syndrome (SVCS). Methods: Eight patients are presented who have central venous catheter-associated SVCS (n = 6 Hickman catheters, n = 2 Port-a-cath) caused by central vein stenosis (n = 4) or concomitant thrombosis (n = 4). With the use of a vascular snare introduced via the transcubital or transjugular approach, the tip of the central venous catheter could be engaged, and repositioned after deployment of a stent in the innominate or superior vena cava. Results: In all patients it was technically feasible to reposition the central venous catheter and treat the SVCS at the same time. In one patient flipping of the Hickman catheter in its original position provoked dislocation of the released Palmaz stent, which could be positioned in the right common iliac vein. Conclusion: Repositioning of a central venous catheter just before and after stent deployment in SVCS is technically feasible and a better alternative than preprocedural removal of the vascular access.

Authors:
;  [1];  [2]; ;  [1]
  1. Department of Radiology, Catholic University of Leuven, University Hospitals, Herestraat 49, B-3000 Leuven (Belgium)
  2. Department of Nephrology, Catholic University of Leuven, University Hospitals, Herestraat 49, B-3000 Leuven (Belgium)
Publication Date:
OSTI Identifier:
21080308
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 22; Journal Issue: 3; Other Information: DOI: 10.1007/s002709900371; Copyright (c) 1999 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BLOOD VESSELS; DISLOCATIONS; PATIENTS; THROMBOSIS; VASCULAR DISEASES; VEINS

Citation Formats

Stockx, Luc, Raat, Henricus, Donck, Jan, Wilms, Guy, and Marchal, Guy. Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases. United States: N. p., 1999. Web. doi:10.1007/S002709900371.
Stockx, Luc, Raat, Henricus, Donck, Jan, Wilms, Guy, & Marchal, Guy. Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases. United States. https://doi.org/10.1007/S002709900371
Stockx, Luc, Raat, Henricus, Donck, Jan, Wilms, Guy, and Marchal, Guy. Sat . "Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases". United States. https://doi.org/10.1007/S002709900371.
@article{osti_21080308,
title = {Repositioning and Leaving In Situ the Central Venous Catheter During Percutaneous Treatment of Associated Superior Vena Cava Syndrome: A Report of Eight Cases},
author = {Stockx, Luc and Raat, Henricus and Donck, Jan and Wilms, Guy and Marchal, Guy},
abstractNote = {Purpose: To describe a combined procedure of repositioning and leaving in situ a central venous catheter followed by immediate percutaneous treatment of associated superior vena cava syndrome (SVCS). Methods: Eight patients are presented who have central venous catheter-associated SVCS (n = 6 Hickman catheters, n = 2 Port-a-cath) caused by central vein stenosis (n = 4) or concomitant thrombosis (n = 4). With the use of a vascular snare introduced via the transcubital or transjugular approach, the tip of the central venous catheter could be engaged, and repositioned after deployment of a stent in the innominate or superior vena cava. Results: In all patients it was technically feasible to reposition the central venous catheter and treat the SVCS at the same time. In one patient flipping of the Hickman catheter in its original position provoked dislocation of the released Palmaz stent, which could be positioned in the right common iliac vein. Conclusion: Repositioning of a central venous catheter just before and after stent deployment in SVCS is technically feasible and a better alternative than preprocedural removal of the vascular access.},
doi = {10.1007/S002709900371},
url = {https://www.osti.gov/biblio/21080308}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 22,
place = {United States},
year = {1999},
month = {5}
}