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Dialysis Catheter-Related Superior Vena Cava Syndrome with Patent Vena Cava: Long Term Efficacy of Unilateral Viatorr Stent-Graft Avoiding Catheter Manipulation
Authors:Pietro Quaretti  Franco Galli  Lorenzo Paolo Moramarco  Riccardo Corti  Giovanni Leati  Ilaria Fiorina  Marcello Maestri
Institution:1.Unit of Interventional Radiology - Radiology Department, IRCCS Policlinico San Matteo Foundation, Pavia 27100, Italy.;2.Nephrology and Dialysis, IRCCS Fondazione Salvatore Maugeri, Pavia 27100, Italy.;3.Department of General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia 27100, Italy.
Abstract:Central venous catheters are the most frequent causes of benign central vein stenosis. We report the case of a 79-year-old woman on hemodialysis through a twin catheter in the right internal jugular vein, presenting with superior vena cava (SVC) syndrome with patent SVC. The clinically driven endovascular therapy was conducted to treat the venous syndrome with a unilateral left brachiocephalic stent-graft without manipulation of the well-functioning catheter. The follow-up was uneventful until death 94 months later.
Keywords:Central venous stenosis  Stent-graft  Central venous catheter  Dialysis  Superior vena cava syndrome
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