Thrombosis, Caval Vein, Superior
Synonyms
Obstruction of the superior vena cava; Superior caval vein occlusion
Definition
Acute or chronic thrombotic occlusion of the superior vena cava.
Pathology/Histopathology
Thrombosis of the superior vena cava is most often caused by intrinsic or extrinsic obstruction attributable to a wide variety of disease entities such as malignancy, extension of central venous thrombosis to the superior vena cava, indwelling catheter induced disease, fibrosing mediastinitis, irradiation, and tuberculosis to name a few.
Clinical Presentation
Symptoms range from congestion and edema of the upper thorax, the face, and the arms to dyspnea, dysphagia, cognitive dysfunction, and pulmonary embolism.
Imaging
see Diagnosis
Diagnosis
Since the clinical presentation is variable, imaging techniques need to be incorporated in the diagnostic process.
Interventional Radiological Treatment
For the diagnosis of superior caval vein thrombosis and consecutive endovascular treatment options reading of the...