恶性上腔静脉支架置入术后心脏压塞：两例报告并文献简要回顾

Cardiac tamponade after malignant superior vena cava stenting: Two case reports and brief review of the literature.

作者信息

Da Ines David, Chabrot Pascal, Motreff Pascal, Alfidja Agaïcha, Cassagnes Lucie, Filaire Marc, Garcier Jean-Marc, Boyer Louis

机构信息

Department of Medical Imaging, Hotel-Dieu, Teaching Hospital of Clermont-Ferrand, Clermont-Ferrand Cedex, France.

出版信息

Acta Radiol. 2010 Apr;51(3):256-9. doi: 10.3109/02841850903578807.

DOI:10.3109/02841850903578807

PMID:20201637

Abstract

Percutaneous stenting of the superior vena cava (SVC) is usually recommended as a palliative procedure for malignant SVC obstruction with low reported morbidity. Complications are uncommon and usually of minor consequence. We report two unusual cases of cardiac tamponade following SVC stenting in patients with malignant SVC syndrome. Echocardiography allows rapid diagnosis and guides pericardial drainage in the interventional radiology suite.

摘要

经皮上腔静脉（SVC）支架置入术通常被推荐作为一种姑息性手术，用于治疗恶性SVC梗阻，据报道其发病率较低。并发症并不常见，通常后果较轻。我们报告了两例恶性SVC综合征患者在SVC支架置入术后发生心脏压塞的罕见病例。超声心动图可实现快速诊断，并在介入放射科套房中指导心包引流。