Strategies for the Management of SVC Stent Migration into the Right Atrium
- St. George's Hospital, Department of Radiology (United Kingdom)
- The Leeds Teaching Hospitals NHS Trust, Department of Radiology (United Kingdom)
- Glasgow Royal Infirmary, Department or Radiology (United Kingdom)
- Derbyshire Royal Infirmary, Department of Radiology (United Kingdom)
Purpose. Stent migration into the right atrium is a potentially fatal complication of stenting in the venous system and is most likely to occur during the treatment of superior vena cava obstruction. Endovascular approaches that can salvage this hazardous situation are described and the keys to successful treatment are highlighted. Materials and Methods. Four different strategies are reviewed: (1) snaring the stent directly, (2) angioplasty balloon-assisted snaring of the stent, (3) guide wire-assisted snaring of the stent, and (4) superior vena cava-to-inferior vena cava bridging stent. Results. These techniques have been employed in the successful management of four cases. No short- or long-term complications as a result of these maneuvers have been identified. Additional treatment of the underlying disease was possible at the same time in each case. Conclusion. We conclude that prompt management of right atrial stent migration is essential and can be successfully achieved by a variety of 'bale-out' techniques which are within the technical range of most interventional radiologists.
- OSTI ID:
- 21090800
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 30, Issue 5; Other Information: DOI: 10.1007/s00270-007-9109-3; Copyright (c) 2007 Springer Science+Business Media, LLC; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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