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. GrachevRussian Federation
Nikita I. Grachev, assistant of the Institute of Surgery
2 Ostryakova Ave., Vladivostok, 690002
V. G. Rapovka
Russian Federation
2 Ostryakova Ave., Vladivostok, 690002
A. V. Ivanov
Russian Federation
E. A. Kokarev
Russian Federation
References
1. Azizi AH, Shafi I, Zhao M, Chatterjee S, Roth SC, Singh M, Lakhter V, Bashir R. Endovascular therapy for benign superior vena cava syndrome: a systematic review and meta-analysis. eClinicalMedicine. 2021;100970. doi: 10.1016/j.eclinm.2021.100970
2. Liu H, Li Y, Wang Y, Yan L, Zhou P, Han X. Percutaneous transluminal stenting for superior vena cava syndrome caused by malignant tumors: a single-center retrospective study. Journal of Cardiothoracic Surgery. 2021;16(1):39. doi: 10.1186/s13019-021-01418-w
3. Aung EY, Khan M, Williams N, Raja U, Hamady M. Endovascular stenting in superior vena cava syndrome: A systematic review and meta-analysis. Cardiovascular and Interventional Radiology. 2022;45(9):1236–1254. doi: 10.1007/s00270-022-03178-z
4. Wright K, Digby G, Gyawali B, Jad R, Menard A, Moraes F, Wijeratne DT. Malignant Superior Vena Cava Syndrome: A Scoping Review. Journal of Thoracic Oncology. 2023;18(10):1268–1276. doi: 10.1016/j.jtho.2023.04.019
5. Shah RP, Bolaji O, Duhan S, Ariaga AC, Keisham B, Paul T, Aljaroudi W, Alraies MC. Superior Vena Cava Syndrome: An Umbrella Review. Cureus. 2023;15(7):e42227. doi: 10.7759/cureus.42227
6. Tonak J, Fetscher S, Barkhausen J, Goltz JP. Endovascular recanalization of a port catheter-associated superior vena cava syndrome. The Journal of Vascular Access. 2015;16(5):434–6. doi: 10.5301/jva.5000402
7. Naidu SG, Menias CO, Oklu R. Superior vena cava obstruction: a clinical perspective. AJR Am J Roentgenol. 2018;210(2):W66– W75. doi: 10.2214/AJR.17.18826
8. Araújo CS, Domingues RM, Couto P, Mato AR, Ângela CC. Central Venous Catheter-Associated Superior Vena Cava Syndrome. Cureus. 2023;15(4):e37756. doi: 10.7759/cureus.37756
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