title: Anchoring a migrating inferior vena cava stent with use of a T-fastener.
abstract: 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.
authors.affiliation: Department of Radiology, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0709, USA. gwittich@utmb.edu
authors.forename: G R
authors.initials: GR
authors.lastname: Wittich
authors.forename: B W
authors.initials: BW
authors.lastname: Goodacre
authors.forename: P T
authors.initials: PT
authors.lastname: Kennedy
authors.forename: P
authors.initials: P
authors.lastname: Mathew
mesh_terms: 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*