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Catheter‐directed Thrombolysis in Acute Superior Vena Cava Syndrome Caused by Central Venous Catheters
Author(s) -
Cui Jie,
Kawai Tasuo,
Irani Zubin
Publication year - 2015
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12362
Subject(s) - medicine , hemodialysis catheter , thrombolysis , catheter , hemodialysis , surgery , superior vena cava syndrome , superior vena cava , central venous catheter , dialysis catheter , asymptomatic , end stage renal disease , internal jugular vein , lumen (anatomy) , jugular vein , cardiology , myocardial infarction
Indwelling central venous catheters have been reported to increase the risk of superior venous cava ( SVC ) syndrome. This case report describes the development of acute SVC syndrome in a 28‐year‐old woman with end‐stage renal disease implanted with a left‐side hemodialysis reliable outflow graft and a right‐side double lumen hemodialysis catheter via internal jugular veins. Her symptoms were not alleviated after catheter removal and systemic anticoagulation therapy. She was eventually treated with catheter‐directed thrombolysis and a predischarge computer tomographic venogram on postthrombolytic procedure day 7 showed patent central veins and patient remained asymptomatic. This case demonstrates that catheter‐directed thrombolysis can be safely employed to treat refractory catheter‐induced acute SVC syndrome in end‐stage renal disease patients.