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Percutaneous treatment of superior vena cava syndrome caused by chronic thrombosis

Müslüm Şahin1, Süleyman Aktu Rk2, Mustafa Bulut3

  • 1Department of Cardiology, Kartal Koşuyolu Training and Research Hospital, İstanbul, Turkey. sahinm78@yahoo.com.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|February 1, 2014
PubMed

Insights

Endovascular stenting successfully treated chronic superior vena cava syndrome (SVCS) caused by thrombosis. This minimally invasive approach offers a high success rate for patients with SVCS and upper extremity deep vein thrombosis (UEDVT).

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Chronic upper extremity deep vein thrombosis (UEDVT) and superior vena cava syndrome (SVCS) are increasingly prevalent, often linked to central venous access devices.
  • Alternative causes include hypercoagulable states, malignancy, and extrinsic compression.

Observation:

  • A 48-year-old woman with SVCS experienced worsening facial and upper extremity swelling despite warfarin therapy.
  • Imaging confirmed superior vena cava obstruction due to chronic thrombosis.

Findings:

  • Percutaneous angioplasty and stenting were performed using femoral and jugular venous access.
  • Successful implantation of two self-expandable stents resolved the superior vena cava obstruction.
  • The patient's symptoms significantly improved post-procedure with no immediate complications.

Implications:

  • Endovascular management, specifically stenting, is a highly effective first-line treatment for chronic SVCS and UEDVT.
  • This approach demonstrates a favorable success rate and low morbidity compared to traditional medical or surgical interventions.
  • Stenting offers a viable solution for complex venous obstructions, improving patient outcomes and quality of life.

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