Acute pericardial tamponade following superior vena cava stent migration in a dialysis patient: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHENG Bo , YUE Honghua , ZHANG Tailong , LIANG Weitao ,  WU Zhong

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WU Zhong, Email: wuzhong71@163.com

Keywords：

Venous stent migration; hemodialysis; acute tamponade; central venous stenosis; case report

DOI：

10.7507/1007-4848.202106018

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Central venous stenosis is a common complication following long-term dialysis catheter placement in dialysis patients. Generally, percutaneous angioplasty is the treatment of choice, and venous stent implantation should be considered in different situations. However, the venous stent migrating into right atrium is a rare but fatal complication. We presented a patient whose superior vena cava stents migrated into right atrium, resulting in acute tamponade, and exploratory thoracotomy was proceeded.

Citation： ZHENG Bo, YUE Honghua, ZHANG Tailong, LIANG Weitao, WU Zhong. Acute pericardial tamponade following superior vena cava stent migration in a dialysis patient: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(10): 1258-1260. doi: 10.7507/1007-4848.202106018 Copy

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2.	Lok CE, Huber TS, Lee T, et al. KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis, 2020, 75(4 Suppl 2): S1-S164.
3.	Bongers KS, Patel V, Gualano SK, et al. Cardiac tamponade after superior vena cava stenting. BMJ Case Rep, 2020, 13(6): e234345.
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5.	Yankov G, Petkov R, Mekov E, et al. Migration of bare-metal stent placed in the right iliac vein into the right pulmonary artery. Ann Thorac Surg, 2020, 110(3): e205-e207.
6.	Taylor JD, Lehmann ED, Belli AM, et al. Strategies for the management of SVC stent migration into the right atrium. Cardiovasc Intervent Radiol, 2007, 30(5): 1003-1009.
7.	Okamoto D, Takeuchi Y, Arai Y, et al. Bridging stent placement through the superior vena cava to the inferior vena cava in a patient with malignant superior vena cava syndrome and an iodinated contrast material allergy. Jpn J Radiol, 2014, 32(8): 496-499.
8.	Smith SL, Manhire AR, Clark DM. Delayed spontaneous superior vena cava perforation associated with a SVC wallstent. Cardiovasc Intervent Radiol, 2001, 24(4): 286-287.
9.	Khalid I, Omari M, Khalid TJ, et al. Pericardial tamponade after superior vena cava stent: Are nitinol stents safe? Asian Cardiovasc Thorac Ann, 2010, 18(3): 294-296.
10.	Collier PE. Prevention and treatment of dilator injuries during central venous catheter placement. J Vasc Surg Venous Lymphat Disord, 2019, 7(6): 789-792.

1. 金海姣, 倪兆慧. 血液透析血管通路的临床应用现状分析. 中国血液净化, 2016, 15(1): 39-41.
2. Lok CE, Huber TS, Lee T, et al. KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis, 2020, 75(4 Suppl 2): S1-S164.
3. Bongers KS, Patel V, Gualano SK, et al. Cardiac tamponade after superior vena cava stenting. BMJ Case Rep, 2020, 13(6): e234345.
4. Kaneko K, Hirono O, Yuuki K, et al. Complete atrioventricular block due to venous stent migration from innominate vein to right ventricle: A case report. J Cardiol, 2009, 53(3): 453-457.
5. Yankov G, Petkov R, Mekov E, et al. Migration of bare-metal stent placed in the right iliac vein into the right pulmonary artery. Ann Thorac Surg, 2020, 110(3): e205-e207.
6. Taylor JD, Lehmann ED, Belli AM, et al. Strategies for the management of SVC stent migration into the right atrium. Cardiovasc Intervent Radiol, 2007, 30(5): 1003-1009.
7. Okamoto D, Takeuchi Y, Arai Y, et al. Bridging stent placement through the superior vena cava to the inferior vena cava in a patient with malignant superior vena cava syndrome and an iodinated contrast material allergy. Jpn J Radiol, 2014, 32(8): 496-499.
8. Smith SL, Manhire AR, Clark DM. Delayed spontaneous superior vena cava perforation associated with a SVC wallstent. Cardiovasc Intervent Radiol, 2001, 24(4): 286-287.
9. Khalid I, Omari M, Khalid TJ, et al. Pericardial tamponade after superior vena cava stent: Are nitinol stents safe? Asian Cardiovasc Thorac Ann, 2010, 18(3): 294-296.
10. Collier PE. Prevention and treatment of dilator injuries during central venous catheter placement. J Vasc Surg Venous Lymphat Disord, 2019, 7(6): 789-792.

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Acute pericardial tamponade following superior vena cava stent migration in a dialysis patient: A case report

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