RESUMO
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.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Veias Braquiocefálicas/patologia , Carcinoma Broncogênico/complicações , Cateterismo Venoso Central/métodos , Cateteres de Demora , Constrição Patológica , Procedimentos Endovasculares/métodos , Neoplasias Pulmonares/tratamento farmacológico , Cuidados Paliativos , Stents , Veia Cava Superior/patologiaRESUMO
Over the last few years, percutaneous radiofrequency (RF) ablation has been successfully established as a viable treatment modality for small peripheral renal cell carcinoma (RCC). This technique is limited by central tumor location and tumor size. We report the interventional management of a 5.3 cm mixed RCC with central and exophytic parts by combining the RF ablation with embolization, tagging, and retrograde, as well as anterograde cooling. The potential pitfalls of complex hybrid interventions for treating RCC are discussed.