Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 3/2005

01-04-2005 | Case Report

Balloon Dilation of the Superior Vena Cava (SVC) Resulting in SVC Rupture and Pericardial Tamponade: A Case Report and Brief Review

Authors: Karen T. Brown, George I. Getrajdman

Published in: CardioVascular and Interventional Radiology | Issue 3/2005

Login to get access

Abstract

Stent placement is an accepted primary treatment for SVC syndrome. Balloon dilation is frequently performed prior to stent placement. Although various stent-related hemorrhagic complications have been reported, as well as reports of iatrogenic catheter and guidewire perforations, there has been only one previous report of balloon dilation–related SVC rupture. We report a second case, including the clinical scenario, in the hope that should this complication occur, it might be recognized quickly and treated successfully.
Literature
1.
go back to reference Dondelinger, RF, Goffette, P, Kurdziel, JC, et al. 1991Expandable metal stents for stenoses of the vena cava and large veinsSemin Intervent Radiol8252263 Dondelinger, RF, Goffette, P, Kurdziel, JC,  et al. 1991Expandable metal stents for stenoses of the vena cava and large veinsSemin Intervent Radiol8252263
2.
go back to reference Rosch, J, Uchida, BT, Hall, LD, et al. 1992Gianturco-Rosch expandable Z-stents in the treatment of superior vena cava syndromeCardiovasc Intervent Radiol15319327PubMed Rosch, J, Uchida, BT, Hall, LD,  et al. 1992Gianturco-Rosch expandable Z-stents in the treatment of superior vena cava syndromeCardiovasc Intervent Radiol15319327PubMed
3.
go back to reference Irving, JD, Dondelinger, RF, Reidy, JF, et al. 1992Gianturco self-expanding stents: Clinical experience in the vena cava and large veinsCardiovasc Intervent Radiol15328333PubMed Irving, JD, Dondelinger, RF, Reidy, JF,  et al. 1992Gianturco self-expanding stents: Clinical experience in the vena cava and large veinsCardiovasc Intervent Radiol15328333PubMed
4.
go back to reference Nicholson, AA, Ettles, DF, Arnold, A, et al. 1997Treatment of malignant superior vena cava obstruction: Metal stents or radiation therapy? J Vasc Interv Radiol8781788PubMed Nicholson, AA, Ettles, DF, Arnold, A,  et al. 1997Treatment of malignant superior vena cava obstruction: Metal stents or radiation therapy? J Vasc Interv Radiol8781788PubMed
5.
go back to reference Lanciego, C, Chacon, JL, Julian, A, et al. 2001Stenting as first option for endovascular treatment of malignant superior vena cava syndromeAJR Am J Roentgenol177585593PubMed Lanciego, C, Chacon, JL, Julian, A,  et al. 2001Stenting as first option for endovascular treatment of malignant superior vena cava syndromeAJR Am J Roentgenol177585593PubMed
6.
go back to reference Smayra, T, Otal, P, Chabbert, V, et al. 2001Long-term results of endovascular stent placement in the superior caval venous systemCardiovasc Intervent Radiol24388394CrossRefPubMed Smayra, T, Otal, P, Chabbert, V,  et al. 2001Long-term results of endovascular stent placement in the superior caval venous systemCardiovasc Intervent Radiol24388394CrossRefPubMed
7.
go back to reference Glanz, S 1991 Dialysis fistula stenosis: Treatment by angioplastyKadir, S eds. Current practice of interventional radiologyBC DeckerPhiladelphia280287 Glanz, S 1991 Dialysis fistula stenosis: Treatment by angioplastyKadir, S eds. Current practice of interventional radiologyBC DeckerPhiladelphia280287
8.
go back to reference Beathard, GA 1992Percutaneous transvenous angioplasty in the treatment of vascular access stenosisKidney Int4213901397PubMed Beathard, GA 1992Percutaneous transvenous angioplasty in the treatment of vascular access stenosisKidney Int4213901397PubMed
9.
go back to reference Zollikofer, CL, Antonucci, F, Stuckmann, G, et al. 1992Use of the Wallstent in the venous system including hemodialysis-related stenosesCardiovasc Intervent Radiol15334341PubMed Zollikofer, CL, Antonucci, F, Stuckmann, G,  et al. 1992Use of the Wallstent in the venous system including hemodialysis-related stenosesCardiovasc Intervent Radiol15334341PubMed
10.
go back to reference Ansell, G, Betteman, MA, Kaufman, JA, et al. 1996Complications in diagnostic imaging and interventional radiology3rd edn.Blackwell ScienceCambridge, MA Ansell, G, Betteman, MA, Kaufman, JA,  et al. 1996Complications in diagnostic imaging and interventional radiology3rd edn.Blackwell ScienceCambridge, MA
11.
go back to reference Funaki, B, Szymski, GX, Leef, JA, et al. 1997Wallstent deployment to salvage dialysis graft thrombolysis complicated by venous ruptureAJR Am J Roentgenol16914351437PubMed Funaki, B, Szymski, GX, Leef, JA,  et al. 1997Wallstent deployment to salvage dialysis graft thrombolysis complicated by venous ruptureAJR Am J Roentgenol16914351437PubMed
12.
go back to reference Charnsangavej, C, Carrasco, C, Wallace, S, et al. 1986Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stentRadiology161295298 Charnsangavej, C, Carrasco, C, Wallace, S,  et al. 1986Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stentRadiology161295298
13.
go back to reference Boardman, P, Ettles, DF 2000Cardiac tamponade: A rare complication of attempted stenting in malignant superior vena cava obstructionClin Radiol55645647CrossRefPubMed Boardman, P, Ettles, DF 2000Cardiac tamponade: A rare complication of attempted stenting in malignant superior vena cava obstructionClin Radiol55645647CrossRefPubMed
14.
go back to reference Kee, ST, Kinoshita, L, Razavi, MK, et al. 1998Superior vena cava syndrome: Treatment with catheter directed thrombolysis and endovascular stent placementRadiology206187193 Kee, ST, Kinoshita, L, Razavi, MK,  et al. 1998Superior vena cava syndrome: Treatment with catheter directed thrombolysis and endovascular stent placementRadiology206187193
15.
go back to reference Smith, SL, Manhire, AR, Clark, DM 2001Delayed spontaneous superior vena cava perforation associated with a SVC stentCardiovasc Intervent Radiol24286287CrossRefPubMed Smith, SL, Manhire, AR, Clark, DM 2001Delayed spontaneous superior vena cava perforation associated with a SVC stentCardiovasc Intervent Radiol24286287CrossRefPubMed
16.
go back to reference Brant, J, Peebles, C, Kalra, P, et al. 2002Hemopericardium after superior vena cava stenting for malignant SVC obstruction: The importance of contrast enhanced CT in the assessment of postprocedural collapseCardiovasc Intervent Radiol24353 355CrossRef Brant, J, Peebles, C, Kalra, P,  et al. 2002Hemopericardium after superior vena cava stenting for malignant SVC obstruction: The importance of contrast enhanced CT in the assessment of postprocedural collapseCardiovasc Intervent Radiol24353 355CrossRef
17.
go back to reference Martin, M, Baumgarter, I, Kolb, M 2002Fatal pericardial tamponade after Wallstent implantation for malignant superior vena cava syndromeJ Endovasc Ther9680684CrossRefPubMed Martin, M, Baumgarter, I, Kolb, M 2002Fatal pericardial tamponade after Wallstent implantation for malignant superior vena cava syndromeJ Endovasc Ther9680684CrossRefPubMed
18.
go back to reference Recto, MR, Bousamra, M, Yeh, T,Jr 2002Late superior vena cava perforation and aortic laceration after stenting to treat superior vena cava syndrome secondary to fibrosing mediastinitisJ Invasive Cardiol14624629PubMed Recto, MR, Bousamra, M, Yeh, T,Jr 2002Late superior vena cava perforation and aortic laceration after stenting to treat superior vena cava syndrome secondary to fibrosing mediastinitisJ Invasive Cardiol14624629PubMed
19.
go back to reference Burket MW (2003) Superior vena cava rupture. Endovascular Today [July/Aug] 35–37 Burket MW (2003) Superior vena cava rupture. Endovascular Today [July/Aug] 35–37
Metadata
Title
Balloon Dilation of the Superior Vena Cava (SVC) Resulting in SVC Rupture and Pericardial Tamponade: A Case Report and Brief Review
Authors
Karen T. Brown
George I. Getrajdman
Publication date
01-04-2005
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-0001-0

Other articles of this Issue 3/2005

CardioVascular and Interventional Radiology 3/2005 Go to the issue

Letter to the Editor

Letter to the Editor