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Management of central venous catheter induced superior vena cava syndrome

"This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies" Anderson et al (2024).

"This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies" Anderson et al (2024).

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Management of central venous catheter induced superior vena cava syndrome

Abstract:

This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies. The most common causes of benign SVC syndrome are indwelling central venous catheters (CVCs) with 1%-3% and 0.2%-3.3% of patients being affected. In all cases, a mechanical thrombectomy device was used to evacuate the chronic and acute thrombus, followed by a balloon angioplasty and stenting of the SVC. Anterograde flow and rapid symptom resolution was achieved following the procedure. No peri- or postprocedural complications occurred. These cases demonstrate the feasibility of endovascular management of catheter-associated SVC syndrome.


Reference:

Anderson B, Madabhushi V, Flentje A, Jabbari J, Chaudhary M, Harding J, Nagarsheth K. Endovascular management of central venous catheter induced superior vena cava syndrome. J Vasc Access. 2024 Dec 5:11297298241303191. doi: 10.1177/11297298241303191. Epub ahead of print. PMID: 39639508.

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