Anchoring a migrating inferior vena cava stent with use of a T-fastener.
An attempt to treat symptomatic stenosis of the inferior vena cava in a patient with metastatic liver disease was complicated by migration of a Wallstent into the right atrium. Effective palliation was achieved by insertion of a second stent, which was anchored by transhepatic insertion of a T-fastener into the intracaval stent. This anchoring maneuver was performed safely under sonographic and fluoroscopic guidance.
Wittich
G R
GR
Department of Radiology, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0709, USA. gwittich@utmb.edu
Goodacre
B W
BW
Kennedy
P T
PT
Mathew
P
P
D000328:Adult; D004867:Equipment Design; D005548:Foreign-Body Migration / Q000628:therapy*; D006321:Heart / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D011859:Radiography; D015607:Stents; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*