Radiological management of superior vena caval stent migration and infection.
We report a case of venous obstruction secondary to Hodgkin's lymphoma. Multiple Wallstents were inserted into the superior vena cava to relieve obstructive symptoms secondary to tumor. This procedure was complicated by stent migration into the right ventricle and a presumed stent infection. We describe the percutaneous management of these complications and discuss the issues surrounding the use of stents in this setting. We conclude that these complications can be managed percutaneously. However, the technical details of stent placement are essential in minimizing complications of this type.
Srinathan
Sadeesh
S
Queen Elizabeth Hospital, Birmingham, B15 2TH, UK. sadeesh@macunlimited.net
McCafferty
Ian
I
Wilson
Ian
I
D000328:Adult; D020878:Device Removal; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000628:therapy*; D006689:Hodgkin Disease / Q000150:complications; D006801:Humans; D008297:Male; D010690:Phlebography; D015641:Radiography, Interventional; D015607:Stents / Q000009:adverse effects*; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior