Résumé
Stenting of the central veins is well established for treating localized venous stenosis. The techniques regarding catheter preservation for central venous catheters in the superior vena cava have been described. We describe here a method for stent implantation in the superior vena cava and the left brachiocephalic vein, and principally via a single jugular venous puncture, while saving a left sided jugular central venous catheter in a patient suffering from central venous stenosis of the superior vena cava and the left brachiocephalic vein.
Sujets)
Humains , Mâle , Adulte d'âge moyen , Veines brachiocéphaliques/anatomopathologie , Carcinome bronchogénique/complications , Cathétérisme veineux central/méthodes , Cathéters à demeure , Sténose pathologique , Procédures endovasculaires/méthodes , Tumeurs du poumon/traitement médicamenteux , Soins palliatifs , Endoprothèses , Veine cave supérieure/anatomopathologieRésumé
We report a case of central venous stenosis due to a structural deformity caused by a tuberculosis-destroyed lung in a 65-year-old woman. The patient presented with left facial edema. She had a history of pulmonary tuberculosis, and the chest X-ray revealed a collapsed left lung. Angiography showed leftward deviation of the innominate vein leading to kinking and stenosis of the internal jugular vein. Stent insertion improved her facial edema.