Endovascular central venous stenosis treatment ended with superior vena cava perforation, pericardial tamponade, and exitus.
Venous hypertension and outflow stenosis of arteriovenous hemodialysis access managed using endovascular procedures usually present a high technical success rate, with few complications. We reported a rare and fatal complication of superior vena cava perforation with pericardial tamponade 3 months after subclavian vein stenting. Interventional recanalization with stenting for the management of superior vena cava syndrome or central vein stenosis is a safe procedure with a low complication rate. Stent misplacement, reocclusion, migration, or access-related complications appear to occur most frequently.
Department of Vascular Surgery, ASL-RMF San Paolo Hospital Civitavecchia, Rome, Italy.
Andrea
A
Siani
Giustino
G
Marcucci
Federico
F
Accrocca
Roberto
R
Antonelli
Federica
F
Mounayergi
Maria Sofia
MS
Rosati
Roberto
R
Gabrielli
D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001344:Autopsy; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D010690:Phlebography; D011475:Prosthesis Failure; D006435:Renal Dialysis; D015607:Stents; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000293:injuries*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy