Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome

Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome

Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoa...

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Bibliographic Details
Main Authors: Yashwant Agrawal, MD, Jean-Yves R. Nazroo, BSc, MS, Nihar Jena, MD, Vince Marceau, BSc, Dominika Zoltowska, MD, Michele DeGregorio, MD, Kirit Patel, MD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:JACC: Case Reports
Subjects:
anticoagulation
computed tomography
Doppler ultrasound
imaging
intravascular ultrasound
shortness of breath
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919304565
Description
Summary:Superior vena cava syndrome (SVCS) is traditionally associated with malignancy. However, approximately one-third of SVCS cases are due to intravascular devices and pacemakers. No specific guidelines exist for managing catheter-associated SVCS. We present catheter-associated SVCS resistant to anticoagulation, angioplasty, and thrombectomy but resolved with ultrasound-assisted catheter directed thrombolysis. (Level of Difficulty: Intermediate.)
ISSN:2666-0849

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