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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 3/2012

01-06-2012 | Technical Note

Radiofrequency Guide Wire Recanalization of Venous Occlusions in Patients with Malignant Superior Vena Cava Syndrome

Authors: Robert M. Davis, Elizabeth David, Robyn A. Pugash, Ganesan Annamalai

Published in: CardioVascular and Interventional Radiology | Issue 3/2012

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Abstract

Fibrotic central venous occlusions in patients with thoracic malignancy and prior radiotherapy can be impassable with standard catheters and wires, including the trailing or stiff end of a hydrophilic wire. We report two patients with superior vena cava syndrome in whom we successfully utilized a radiofrequency guide wire (PowerWire, Baylis Medical, Montreal, Quebec, Canada) to perforate through the occlusion and recanalize the occluded segment to alleviate symptoms.
Literature
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Kusumoto F, Prussak K, Wiesinger M et al (2009) Radiofrequency catheter ablation of atrial fibrillation in older patients: outcomes and complications. J Interv Card Electrophysiol 25:31–35PubMedCrossRef
2.
Veldtman GR, Hartley A, Visram N et al (2004) Radiofrequency applications in congenital heart disease. Expert Rev Cardiovasc Ther 2:117–126PubMedCrossRef
3.
Baerlocher MO, Asch MR, Myers A (2006) Successful recanalization of a longstanding complete left subclavian vein occlusion by radiofrequency perforation with use of a radiofrequency guide wire. J Vasc Interv Radiol 17:1703–1706PubMedCrossRef
4.
Guimaraes M, Uflacker A, Schönholz C et al (2010) Successful recanalization of bile duct occlusion with a radiofrequency puncture wire technique. J Vasc Interv Radiol 21:289–294PubMedCrossRef
Metadata
Title
Radiofrequency Guide Wire Recanalization of Venous Occlusions in Patients with Malignant Superior Vena Cava Syndrome
Authors
Robert M. Davis
Elizabeth David
Robyn A. Pugash
Ganesan Annamalai
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2012
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-011-0279-7

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