CardioVascular and Interventional Radiology

, Volume 28, Issue 3, pp 372–376

Balloon Dilation of the Superior Vena Cava (SVC) Resulting in SVC Rupture and Pericardial Tamponade: A Case Report and Brief Review

Case Report

Abstract

Stent placement is an accepted primary treatment for SVC syndrome. Balloon dilation is frequently performed prior to stent placement. Although various stent-related hemorrhagic complications have been reported, as well as reports of iatrogenic catheter and guidewire perforations, there has been only one previous report of balloon dilation–related SVC rupture. We report a second case, including the clinical scenario, in the hope that should this complication occur, it might be recognized quickly and treated successfully.

Keywords

Vena cava, interventional procedure Superior vena cava syndrome Vena cava, stenosis or obstruction Angioplasty complication 

References

  1. 1.
    Dondelinger, RF, Goffette, P, Kurdziel, JC,  et al. 1991Expandable metal stents for stenoses of the vena cava and large veinsSemin Intervent Radiol8252263Google Scholar
  2. 2.
    Rosch, J, Uchida, BT, Hall, LD,  et al. 1992Gianturco-Rosch expandable Z-stents in the treatment of superior vena cava syndromeCardiovasc Intervent Radiol15319327PubMedGoogle Scholar
  3. 3.
    Irving, JD, Dondelinger, RF, Reidy, JF,  et al. 1992Gianturco self-expanding stents: Clinical experience in the vena cava and large veinsCardiovasc Intervent Radiol15328333PubMedGoogle Scholar
  4. 4.
    Nicholson, AA, Ettles, DF, Arnold, A,  et al. 1997Treatment of malignant superior vena cava obstruction: Metal stents or radiation therapy? J Vasc Interv Radiol8781788PubMedGoogle Scholar
  5. 5.
    Lanciego, C, Chacon, JL, Julian, A,  et al. 2001Stenting as first option for endovascular treatment of malignant superior vena cava syndromeAJR Am J Roentgenol177585593PubMedGoogle Scholar
  6. 6.
    Smayra, T, Otal, P, Chabbert, V,  et al. 2001Long-term results of endovascular stent placement in the superior caval venous systemCardiovasc Intervent Radiol24388394CrossRefPubMedGoogle Scholar
  7. 7.
    Glanz, S 1991

    Dialysis fistula stenosis: Treatment by angioplasty

    Kadir, S eds. Current practice of interventional radiologyBC DeckerPhiladelphia280287
    Google Scholar
  8. 8.
    Beathard, GA 1992Percutaneous transvenous angioplasty in the treatment of vascular access stenosisKidney Int4213901397PubMedGoogle Scholar
  9. 9.
    Zollikofer, CL, Antonucci, F, Stuckmann, G,  et al. 1992Use of the Wallstent in the venous system including hemodialysis-related stenosesCardiovasc Intervent Radiol15334341PubMedGoogle Scholar
  10. 10.
    Ansell, G, Betteman, MA, Kaufman, JA,  et al. 1996Complications in diagnostic imaging and interventional radiology3rd edn.Blackwell ScienceCambridge, MAGoogle Scholar
  11. 11.
    Funaki, B, Szymski, GX, Leef, JA,  et al. 1997Wallstent deployment to salvage dialysis graft thrombolysis complicated by venous ruptureAJR Am J Roentgenol16914351437PubMedGoogle Scholar
  12. 12.
    Charnsangavej, C, Carrasco, C, Wallace, S,  et al. 1986Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stentRadiology161295298Google Scholar
  13. 13.
    Boardman, P, Ettles, DF 2000Cardiac tamponade: A rare complication of attempted stenting in malignant superior vena cava obstructionClin Radiol55645647CrossRefPubMedGoogle Scholar
  14. 14.
    Kee, ST, Kinoshita, L, Razavi, MK,  et al. 1998Superior vena cava syndrome: Treatment with catheter directed thrombolysis and endovascular stent placementRadiology206187193Google Scholar
  15. 15.
    Smith, SL, Manhire, AR, Clark, DM 2001Delayed spontaneous superior vena cava perforation associated with a SVC stentCardiovasc Intervent Radiol24286287CrossRefPubMedGoogle Scholar
  16. 16.
    Brant, J, Peebles, C, Kalra, P,  et al. 2002Hemopericardium after superior vena cava stenting for malignant SVC obstruction: The importance of contrast enhanced CT in the assessment of postprocedural collapseCardiovasc Intervent Radiol24353 355CrossRefGoogle Scholar
  17. 17.
    Martin, M, Baumgarter, I, Kolb, M 2002Fatal pericardial tamponade after Wallstent implantation for malignant superior vena cava syndromeJ Endovasc Ther9680684CrossRefPubMedGoogle Scholar
  18. 18.
    Recto, MR, Bousamra, M, Yeh, T,Jr 2002Late superior vena cava perforation and aortic laceration after stenting to treat superior vena cava syndrome secondary to fibrosing mediastinitisJ Invasive Cardiol14624629PubMedGoogle Scholar
  19. 19.
    Burket MW (2003) Superior vena cava rupture. Endovascular Today [July/Aug] 35–37Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Department of RadiologyMemorial Sloan Kettering Cancer CenterNew YorkUSA

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