Combined cut down and endovascular retrieval of orphaned ventriculoatrial shunt with stenting of chronic superior vena cava occlusion

Prahasit Thirkateh*, Ahsun Riaz, Matthew C. Tate, Seth Stein, Scott A. Resnick

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Revascularization of the superior vena cava (SVC) in the context of symptomatic luminal obstruction is a therapeutic intervention performed for SVC syndrome of benign or malignant etiology. Venous occlusion can preclude future access and cause symptoms ranging from mild chest discomfort to the more serious effects of SVC syndrome. This case report demonstrates the treatment of a novel case of SVC syndrome arising from a previously placed SVC stent. An intravascular, extraluminal orphaned ventriculoatrial shunt was used to go through the SVC but around the existing lumen-limiting stent to place a new larger stent for revascularization. This case highlights the need for an innovative approach for complex foreign body retrieval and treatment of chronic SVC occlusion.

Original languageEnglish (US)
JournalPediatric radiology
DOIs
StateAccepted/In press - 2021

Keywords

  • Adult
  • Interventional radiology
  • Revascularization
  • Stent
  • Superior vena cava
  • Superior vena cava syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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