title: Rapid guiding catheter swapping for management of rupture during percutaneous venoplasty for idiopathic occlusion of superior vena cava.
abstract: Treatment for superior vena cava syndrome (SVCS) by percutaneous interventions has become established as a definitive therapy. However, there is a significant risk of rupture during SVC intervention. We describe an uncommon case that developed SVC rupture during percutaneous intervention for idiopathic SVCS. This was managed successfully with pericardiocentesis and rapid implantation of covered stent in SVC by rapid guiding catheter swapping technique. This, however, led to inadvertent obstruction of left innominate vein which was successfully treated by kissing balloon inflation. At 18-month follow-up, he is asymptomatic with a well apposed patent stent-graft in the SVC.
authors.affiliation: Department of Cardiology, G.B. Pant Hospital, New Delhi, India, bnpandit1977@gmail.com.
authors.forename: Bhagya Narayan
authors.initials: BN
authors.lastname: Pandit
authors.forename: Vivek
authors.initials: V
authors.lastname: Chaturvedi
authors.forename: Neeraj
authors.initials: N
authors.lastname: Parakh
authors.forename: Sandeep
authors.initials: S
authors.lastname: Gade
authors.forename: Vijay
authors.initials: V
authors.lastname: Trehan
mesh_terms: D002406:Catheterization, Peripheral; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000601:surgery*; D014683:Vena Cava, Superior / Q000293:injuries*