Management of caval obstruction from pericardial baffles

Stenting of superior vena caval obstruction.

Twenty patients with superior vena caval obstruction (SVCO) due to malignancy were managed using the Gianturco Z stent. Three patients had adjunctive thrombolysis. The primary clinical success was 90% (18120 patients). Thirteen patients were free of SVCO to death or follow-up without re-intervention (primary patency= 65%). Three patients had re-intervention for recurrent symptoms, two successfu...

Superior vena caval obstruction caused by sarcoidosis.

Superior vena caval obstruction complicating fibreoptic gastroscopy.

Chylous Pericardial Effusion and Tamponade Due to Catheter Induced Superior Vena Caval Obstruction in a Premature Infant

Chylous pericardial effusion and tamponade in children are rare complications of thoracic duct injury during cardiothoracic surgeries or as a result of superior vena cava (SVC) obstruction. We report a rare case of chylous tamponade in a premature infant as a complication of long standing central venous catheterization resulting in SVC obstruction. Urgent pericardiocentesis and then surgical cr...

Endovenous treatment of patients with iliac-caval venous obstruction.

Liberal use of intravascular ultrasound in symptomatic chronic venous disease (CVD) patients and the advent of venous stent technology have introduced a new paradigm of treatment for these conditions that often required open surgery in the past. Iliac outflow obstruction is present in >90% of limbs with CVD symptoms including in ''primary'' cases. In the latter, the obstructive lesion appears t...