Endovascular recanalization of a port catheter-associated superior vena cava syndrome

Julia Tonak*, Sebastian Fetscher, Jörg Barkhausen, Jan Peter Goltz

*Corresponding author for this work
2 Citations (Scopus)


Purpose: Superior vena cava (SVC) syndrome owing to benign etiology is rare and endovascular techniques have been advocated as the treatment of choice. We report a case of endovascular revascularization of a port catheterassociated complete occlusion of the SVC with reversed flow in the azygos vein. Methods: In this setting using a sheath in combination with its dilatator to pass the occlusion of the SVC after neither a diagnostic catheter nor a PTA balloon would pass the lesion may be a valid option. A dual venous approach was established using the right common femoral vein and an indwelling port catheter in the right cephalic vein to dilate and stent the lesion. Finally, a port may be implanted after the revascularization had been successful. Results: Passage through the port catheter-associated occlusion of the SVC was only possible by use of the sheath in combination with its dilatator. A dual venous access by the femoral approach and the indwelling central catheter is helpful in treating a SVC occlusion. Conclusions: Long-term central venous catheters may cause SVC syndrome, especially with a catheter tip located too far cranially. An endovascular revascularization of a complete occlusion of the SVC represents the therapy of choice.

Original languageEnglish
JournalJournal of Vascular Access
Issue number5
Pages (from-to)434-436
Number of pages3
Publication statusPublished - 01.01.2015


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