Document Detail

Strategies for the management of SVC stent migration into the right atrium.
MedLine Citation:
PMID:  17605069     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Stent migration into the right atrium is a potentially fatal complication of stenting in the venous system and is most likely to occur during the treatment of superior vena cava obstruction. Endovascular approaches that can salvage this hazardous situation are described and the keys to successful treatment are highlighted. MATERIALS AND METHODS: Four different strategies are reviewed: (1) snaring the stent directly, (2) angioplasty balloon-assisted snaring of the stent, (3) guide wire-assisted snaring of the stent, and (4) superior vena cava-to-inferior vena cava bridging stent. RESULTS: These techniques have been employed in the successful management of four cases. No short- or long-term complications as a result of these maneuvers have been identified. Additional treatment of the underlying disease was possible at the same time in each case. CONCLUSION: We conclude that prompt management of right atrial stent migration is essential and can be successfully achieved by a variety of "bale-out" techniques which are within the technical range of most interventional radiologists.
J D Taylor; E D Lehmann; A-M Belli; A A Nicholson; D Kessel; I R Robertson; J G Pollock; R A Morgan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-09-27     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1003-9     Citation Subset:  IM    
Department of Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, UK.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon / adverse effects,  instrumentation*
Foreign-Body Migration / etiology,  therapy*
Heart Atria
Middle Aged
Radiography, Interventional
Superior Vena Cava Syndrome / radiography,  therapy*
Vena Cava, Superior* / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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