Lai Chih-Hung, Chang Wei-Chun, Liu Tsun-Jui, Lee Wen-Lieng, Su Chieh-Shou
Cardiovascular Center, Taichung Veterans General Hospital.
Institute of Clinical Medicine, Cardiovascular Research Center, and Department of Medicine, National Yang Ming University School of Medicine.
Int Heart J. 2017 May 31;58(3):447-450. doi: 10.1536/ihj.16-300. Epub 2017 May 8.
With the increased use of intravascular catheters and devices, they have become the major non-malignant cause of superior vein cava (SVC) syndrome. We report a patient with liver cirrhosis who had received a peritoneovenous drainage catheter for refractory ascites, and then developed SVC syndrome because of concomitant occlusions of both the SVC and the drainage catheter. The patient regained patency of both the occluded vessel and the drainage catheter through percutaneous transluminal venoplasty, and there was dramatic improvement of clinical symptoms and good performance of the drainage catheter. Percutaneous intervention may be a feasible and effective therapy for SVC syndrome and intra-catheter thrombosis-related dysfunction.
随着血管内导管和装置使用的增加，它们已成为上腔静脉（SVC）综合征的主要非恶性病因。我们报告一例肝硬化患者，该患者因难治性腹水接受了腹腔静脉引流导管置入术，随后由于SVC和引流导管同时发生阻塞而出现SVC综合征。通过经皮腔内血管成形术，患者闭塞的血管和引流导管均恢复通畅，临床症状显著改善，引流导管功能良好。经皮介入治疗可能是治疗SVC综合征和导管内血栓形成相关功能障碍的一种可行且有效的方法。
