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Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava
Yashwant Agrawal1, Jean-Yves R Nazroo1, Nihar Jena1
1St. Joseph Mercy Oakland Hospital, Pontiac, Michigan.
Insights
Catheter-associated superior vena cava syndrome (SVCS) can be challenging to treat. Ultrasound-assisted catheter-directed thrombolysis effectively resolved SVCS resistant to other therapies.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Radiology
Background:
- Superior vena cava syndrome (SVCS) is often linked to malignancy.
- A significant portion of SVCS cases result from intravascular devices and pacemakers.
- Current management guidelines for catheter-associated SVCS are lacking.
Abstract:
Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoagulation, angioplasty, and thrombectomy but resolved with ultrasound-assisted catheter directed thrombolysis. (Level of Difficulty: Intermediate.).
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