Ploegmakers Marieke J M, Rutten Matthieu J C M
Department of Radiology, Jeroen Bosch Hospital, PO Box 90153, 5200 ME, 's-Hertogenbosch, The Netherlands.
Cardiovasc Intervent Radiol. 2009 May;32(3):585-9. doi: 10.1007/s00270-008-9443-0. Epub 2008 Oct 15.
We discuss a fatal complication of percutaneous superior vena cava (SVC) self-expandable stent placement in a patient with superior vena cava syndrome (SVCS). The SVCS was caused by a malignant mediastinal mass with total occlusion of the SVC. Twenty-four hours after the procedure, the patient died of a hemopericardial tamponade. In the literature, only seven cases have been described with this life-threatening complication. Patients with a necrotic tumor mass are more likely to develop this complication. Knowledge of this complication may increase patient survival.
我们讨论了一例患有上腔静脉综合征（SVCS）的患者在经皮置入上腔静脉（SVC）自膨式支架时发生的致命并发症。该SVCS由纵隔恶性肿块导致SVC完全闭塞引起。术后24小时，患者死于心包填塞。在文献中，仅有7例描述了这种危及生命的并发症。患有坏死肿瘤肿块的患者更易发生这种并发症。了解这一并发症可能会提高患者生存率。
