title: Management of Innominate Vein Rupture During Superior Vena Cava Angioplasty.
abstract: Although vessel perforation rarely occurs during percutaneous transluminal angioplasty of a central venous stenosis, it can be a rapidly fatal complication when accompanied by pericardial tamponade. The present case report details our experience with this dangerous complication. It also highlights the risk factors for and the pathogenesis of central venous stenosis, the clinical findings associated with inadvertent vessel perforation during an intervention, and anesthetic management strategies for pericardial tamponade resulting from vessel perforation.
authors.affiliation: From the *Department of Anesthesiology, Ohio State University Medical Center, Columbus, Ohio; and †Department of Cardiothoracic Surgery, Ohio State University Medical Center, Columbus, Ohio.
authors.forename: Joseph
authors.initials: J
authors.lastname: Kuhn
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kilic
authors.forename: Erica
authors.initials: E
authors.lastname: Stein
mesh_terms: D000328:Adult; D017130:Angioplasty / Q000009:adverse effects*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000293:injuries*; D019468:Disease Management; D006801:Humans; D008297:Male; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*