Treatment of superior vena cava (SVC) syndrome and inferior vena cava (IVC) thrombosis in a patient with colorectal cancer: combination of SVC stenting and IVC filter placement to palliate symptoms and pave the way for port implantation.
Thrombosis of the inferior vena cava is a life-threatening complication in cancer patients leading to pulmonary embolism. These patients can also be affected by superior vena cava syndrome causing dyspnea followed by trunk or extremity swelling. We report the case of a 61-year-old female suffering from an extended colorectal tumor who became affected by both of the mentioned complications. Due to thrombus formation within the right vena jugularis interna, thrombosis of the inferior vena cava, and superior vena cava syndrome, a combined interventional procedure via a left jugular access with stenting of the superior vena cava and filter placement into the inferior vena cava was performed As a consequence, relief of the patient's symptoms, prevention of pulmonary embolism, and paving of the way for further venous chemotherapy were achieved.
Sauter
Alexander
A
Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Berne, Freiburgstrasse 20, CH-3010 Berne, Switzerland.
Triller
Jürgen
J
Schmidt
Felix
F
Kickuth
Ralph
R
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002406:Catheterization, Peripheral; D015179:Colorectal Neoplasms / Q000150:complications* / Q000628:therapy; D003287:Contrast Media; D005260:Female; D005472:Fluorouracil / Q000627:therapeutic use; D006801:Humans; D007601:Jugular Veins; D002955:Leucovorin / Q000627:therapeutic use; D008875:Middle Aged; D009944:Organoplatinum Compounds / Q000627:therapeutic use; D010166:Palliative Care; D015641:Radiography, Interventional; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000628:therapy*
D003287:Contrast Media; D009944:Organoplatinum Compounds; D002955:Leucovorin; D005472:Fluorouracil