Sousou John M, Sherard Douglass M, Edwards Jamie R, Negron-Rubio Elsio
Department of Interventional Radiology, Ascension St. Vincent's Hospital, Jacksonville, FL, USA.
Radiol Case Rep. 2021 Dec 28;17(3):744-747. doi: 10.1016/j.radcr.2021.12.032. eCollection 2022 Mar.
This case report describes a 56-year-old female who presented to the emergency department with diffuse facial and bilateral upper extremity swelling. The patient has a past medical history of Superior vena cava (SVC) syndrome secondary to a clot around her port-a-cath, adenocarcinoma of the lungs status post chemotherapy and radiation, hyperlipidemia, rheumatoid arthritis, diverticulitis status post colon resection, and hypothyroidism. Imaging confirmed the presence of a thrombus obstructing the SVC, likely due to her hypercoagulable state. This case report details the successful removal of a thrombus using the FlowTriever device by INARI in a patient with SVC syndrome. Although indicated for treatment of PE, FlowTriever has shown success in other conditions and nearly eliminates the risk of bleeding without the need for administering thrombolytics, as explained below in the setting of SVC syndrome.
本病例报告描述了一名56岁女性，她因面部弥漫性肿胀和双侧上肢肿胀前往急诊科就诊。该患者既往有因输液港周围血栓形成继发的上腔静脉（SVC）综合征病史、化疗和放疗后肺腺癌病史、高脂血症、类风湿性关节炎、结肠切除术后憩室炎病史以及甲状腺功能减退症。影像学检查证实存在阻塞上腔静脉的血栓，可能是由于她的高凝状态所致。本病例报告详细介绍了使用INARI公司的FlowTriever装置成功为一名患有上腔静脉综合征的患者清除血栓的过程。尽管FlowTriever适用于治疗肺栓塞，但它在其他病症中也显示出了成功的效果，并且几乎消除了出血风险，无需使用溶栓药物，如下文在讨论上腔静脉综合征时所述。
