التفاصيل البيبلوغرافية
| العنوان: |
Catheter-Directed Thrombolysis for Acute SVC Obstruction in a Patient with Metastatic Breast Cancer. |
| المؤلفون: |
Carroll, Hailey Kathryn, Dineen, Fergal, Ryan, Paul, Crowley, Maeve P., Power, Stephen P., O'Reilly, Seamus |
| المصدر: |
Archives of Breast Cancer; Aug2022, Vol. 9 Issue 3, p407-410, 4p |
| مصطلحات موضوعية: |
BREAST metastasis, SUPERIOR vena cava syndrome, THROMBOSIS, THROMBOLYTIC therapy, CENTRAL venous catheterization |
| مستخلص: |
Background: External compression, thrombosis, or stenosis of the superior vena cava can lead to superior vena cava syndrome, a diagnosis that should be considered swiftly in patients presenting with classic symptoms such as facial and neck swelling, plethora, and distended neck veins. Case Presentation: We report a case of acute port-a-cath associated superior vena cava thrombosis in a longstanding, previously uncomplicated vascular access device in a patient with stable ER+/PR+/HER2+ metastatic breast cancer. After initial treatment, there was limited clinical improvement with subcutaneous low molecular weight heparin (LMWH). Following multidisciplinary team discussion, catheter-directed thrombolysis was performed, which resulted in complete symptom resolution. Conclusion: The recognition of signs and symptoms is crucial in diagnosing acute superior vena cava syndrome, particularly in patients with a malignancy history or a central venous access device in situ. The thrombotic complications of port-a-cath symptoms can occur at any time and management should be guided by multidisciplinary discussion. In appropriately selected patients, catheter-directed thrombolysis can be successful and can lead to rapid symptom resolution. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |