Hemopericardium After Superior Vena Cava Stenting for Malignant SVC Obstruction: The Importance of Contrast-Enhanced CT in the Assessment of Postprocedural Collapse

Journal Article · Sat Sep 15 04:00:00 EDT 2001 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002700001795· OSTI ID:21083489

Brant, Jonathan; Peebles, Charles ^[1]; Kalra, Paul ^[2]; Odurny, Allan ^[1]

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1. Department of Radiology, Southampton General Hospital, Tremona Road, Southampton SO16 6YD (United Kingdom)
2. Department of Cardiology, Southampton General Hospital, Tremona Road, Southampton SO16 6YD (United Kingdom)

We report the complication of hemopericardium following superior vena cava (SVC) stenting with an uncovered Wallstent in a patient with malignant SVC obstruction. The patient collapsed acutely 15 min following stent placement with hypoxemia and hypotension. A CT scan demonstrated a hemopericardium which was successfully treated with a pericardial drain. The possible complications of SVC stenting, including hemopericardium, pulmonary embolism, mediastinal hematoma, and pulmonary edema from increased venous return resulting from improved hemodynamics, ensure a wide differential diagnosis in the post procedural collapsed patient and this case emphasizes the important role of contrast-enhanced CT in the peri-resuscitation assessment of these patients.

• OSTI ID: 21083489
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 24; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

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