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Endovascular treatment of superior vena cava syndrome: A clinical case

https://doi.org/10.34215/1609-1175-2025-2-82-85

Abstract

Objective. To present a clinical case of successful endovascular treatment of iatrogenic superior vena cava syndrome (SVCS) using balloon angioplasty. Materials and methods. A 37-year-old patient with a history of chronic kidney failure on renal replacement therapy was admitted with pronounced SVCS symptoms. Contrast-enhanced CT and ultrasound of the brachiocephalic veins were performed. Following an unsuccessful attempt at recanalization, balloon angioplasty was carried out in an interventional radiology suite. Results. Successful recanalization and restoration of venous outflow were achieved. Stenting was not required. The postoperative period proceeded without complications, and clinical improvement was observed. Conclusion. Balloon angioplasty can be an effective and safe treatment option for iatrogenic superior vena cava syndrome (SVCS). The minimally invasive nature of the procedure allows for significant clinical improvement even in high-risk patients

About the Authors

N. I. Grachev
Pacific State Medical University; Primorsk Regional Clinical Hospital No. 1
Russian Federation

Nikita I. Grachev, assistant of the Institute of Surgery

2 Ostryakova Ave., Vladivostok, 690002



V. G. Rapovka
Pacific State Medical University
Russian Federation

2 Ostryakova Ave., Vladivostok, 690002



A. V. Ivanov
Primorsk Regional Clinical Hospital No. 1
Russian Federation


E. A. Kokarev
Primorsk Regional Clinical Hospital No. 1
Russian Federation


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Review

For citations:


Grachev N.I., Rapovka V.G., Ivanov A.V., Kokarev E.A. Endovascular treatment of superior vena cava syndrome: A clinical case. Pacific Medical Journal. 2025;(2):82-85. (In Russ.) https://doi.org/10.34215/1609-1175-2025-2-82-85

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ISSN 1609-1175 (Print)