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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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
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spelling doaj-c11d1f30e80d4535bfbdf9d20378789b2021-06-07T06:54:50ZengElsevierJACC: Case Reports2666-08492019-12-0115803806Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava SyndromeYashwant Agrawal, MD0Jean-Yves R. Nazroo, BSc, MS1Nihar Jena, MD2Vince Marceau, BSc3Dominika Zoltowska, MD4Michele DeGregorio, MD5Kirit Patel, MD6St. Joseph Mercy Oakland Hospital, Pontiac, Michigan; Address for correspondence: Dr. Yashwant Agrawal, 840 Golf Drive, Apartment 202, Pontiac, Michigan 48341.St. Joseph Mercy Oakland Hospital, Pontiac, MichiganSt. Joseph Mercy Oakland Hospital, Pontiac, MichiganSt. Joseph Mercy Oakland Hospital, Pontiac, MichiganUniversity of Florida College of Medicine, Cardiovascular Disease Fellowship, Jacksonville, FloridaSt. Joseph Mercy Oakland Hospital, Pontiac, MichiganSt. Joseph Mercy Oakland Hospital, Pontiac, MichiganSuperior 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.)http://www.sciencedirect.com/science/article/pii/S2666084919304565anticoagulationcomputed tomographyDoppler ultrasoundimagingintravascular ultrasoundshortness of breath
collection DOAJ
language English
format Article
sources DOAJ
author Yashwant Agrawal, MD
Jean-Yves R. Nazroo, BSc, MS
Nihar Jena, MD
Vince Marceau, BSc
Dominika Zoltowska, MD
Michele DeGregorio, MD
Kirit Patel, MD
spellingShingle Yashwant Agrawal, MD
Jean-Yves R. Nazroo, BSc, MS
Nihar Jena, MD
Vince Marceau, BSc
Dominika Zoltowska, MD
Michele DeGregorio, MD
Kirit Patel, MD
Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
JACC: Case Reports
anticoagulation
computed tomography
Doppler ultrasound
imaging
intravascular ultrasound
shortness of breath
author_facet Yashwant Agrawal, MD
Jean-Yves R. Nazroo, BSc, MS
Nihar Jena, MD
Vince Marceau, BSc
Dominika Zoltowska, MD
Michele DeGregorio, MD
Kirit Patel, MD
author_sort Yashwant Agrawal, MD
title Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_short Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_full Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_fullStr Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_full_unstemmed Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome
title_sort successful catheter-directed thrombolysis of massive bilateral upper extremity dvt presenting as superior vena cava syndrome
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2019-12-01
description 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.)
topic anticoagulation
computed tomography
Doppler ultrasound
imaging
intravascular ultrasound
shortness of breath
url http://www.sciencedirect.com/science/article/pii/S2666084919304565
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