title: Pull-through technique with pincer tactics for stent placement in severe superior vena cava syndrome.
abstract: The pull-through technique is an interventional radiological procedure used when an occluded lesion cannot be traversed from one direction. To pass the lesion, a long guidewire is traversed from the opposite side and pulled through the ipsilateral sheath using a snare wire. The present report describes a case of severe superior vena cava syndrome treated by stent placement using a pull-through technique with pincer tactics. We successfully placed a stent in the occluded right internal jugular vein to the superior vena cava using a bilateral approach by snaring a guidewire in the right subclavian vein.
authors.affiliation: Department of Radiology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Matsushita
authors.forename: Satoru
authors.initials: S
authors.lastname: Morita
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Suzuki
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Inoue
authors.forename: Hajime
authors.initials: H
authors.lastname: Yokomizo
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yoshimatsu
authors.forename: Hiroe
authors.initials: H
authors.lastname: Aoshima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mae
authors.forename: Eiko
authors.initials: E
authors.lastname: Ueno
mesh_terms: D015901:Angiography, Digital Subtraction; D002404:Catheterization; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome