TY - JOUR
T1 - Bridging stent placement through the superior vena cava to the inferior vena cava in a patient with malignant superior vena cava syndrome and an iodinated contrast material allergy
AU - Okamoto, Daisuke
AU - Takeuchi, Yoshito
AU - Arai, Yasuaki
AU - Sone, Miyuki
AU - Shibamoto, Kentaro
AU - Sugawara, Shunsuke
AU - Tomimatsu, Hirotaka
AU - Morita, Shinichi
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Positioning is critical during the placement of superior vena cava (SVC) stents in patients with malignant SVC syndrome. Although SVC stents effectively relieve various symptoms of SVC syndrome, improper stent positioning may cause life-threatening complications such as migration that result in fatal cardiac failure. Here we describe a patient with an allergy to iodinated contrast material (ICM) who presented with SVC syndrome owing to mediastinal lymph node metastases from hepatocellular carcinoma, which was successfully treated with an SVC stent. Secure stent placement was achieved by bridging the stent through the SVC to the inferior vena cava with venography using carbon dioxide instead of ICM.
AB - Positioning is critical during the placement of superior vena cava (SVC) stents in patients with malignant SVC syndrome. Although SVC stents effectively relieve various symptoms of SVC syndrome, improper stent positioning may cause life-threatening complications such as migration that result in fatal cardiac failure. Here we describe a patient with an allergy to iodinated contrast material (ICM) who presented with SVC syndrome owing to mediastinal lymph node metastases from hepatocellular carcinoma, which was successfully treated with an SVC stent. Secure stent placement was achieved by bridging the stent through the SVC to the inferior vena cava with venography using carbon dioxide instead of ICM.
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U2 - 10.1007/s11604-014-0324-y
DO - 10.1007/s11604-014-0324-y
M3 - Article
C2 - 24817213
AN - SCOPUS:84906330612
VL - 32
SP - 496
EP - 499
JO - Japanese Journal of Radiology
JF - Japanese Journal of Radiology
SN - 1867-1071
IS - 8
ER -