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Acute Pericardial Effusion during Endovascular Intervention for Superior Vena Cava Syndrome: Case Series and Review.
MedLine Citation:
PMID:  21326743     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We describe three cases of acute pericardial effusion during endovascular treatment of superior vena cava (SVC) syndrome, one of which resulted in fatal pericardial tamponade. SVC syndrome results from impaired venous return from the head and upper extremities to the right atrium. Malignancy and catheter-induced SVC stenosis accounts for the majority of cases of SVC syndrome. Endovascular therapy is the treatment of choice for SVC syndrome due to its rapid relief of symptoms and low morbidity. Acute pericardial effusion and pericardial tamponade may result from inadvertent extraluminal traversal of the SVC in the so-called danger zone above the right atrium, as well as secondary to dissection of wires in a location where fascial planes have been altered by neoplasia or inflammation.
Authors:
Susan K O'Horo; Gregory M Soares; Gregory J Dubel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in interventional radiology     Volume:  24     ISSN:  0739-9529     ISO Abbreviation:  Semin Intervent Radiol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2011-02-17     Completed Date:  2011-07-14     Revised Date:  2011-07-25    
Medline Journal Info:
Nlm Unique ID:  8510974     Medline TA:  Semin Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-6     Citation Subset:  -    
Affiliation:
Department of Radiology, Division of Interventional Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
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