Intra-cardiac echocardiography-guided stent implantation into stenosed superior vena cava in a patient with a history of contrast anaphylaxis

• Published in: Heart and vessels Vol. 31; no. 4; pp. 631 - 634
• Main Authors: Yoshimoto, Hironaga, Suda, Kenji, Kishimoto, Shintaro, Kudo, Yoshiyuki
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01-04-2016; Springer Nature B.V
• Subjects: Adult; Anaphylaxis - chemically induced; Anaphylaxis - complications; Biomedical Engineering and Bioengineering; Cardiac Surgery; Cardiology; Cardiovascular disease; Case Report; Contrast Media - adverse effects; Echocardiography - methods; Electrocardiography; Female; Follow-Up Studies; Humans; Medicine; Medicine & Public Health; Stents; Surgery, Computer-Assisted - methods; Ultrasonography, Interventional; Vascular Malformations - complications; Vascular Malformations - diagnosis; Vascular Malformations - surgery; Vascular Surgery; Vena Cava, Superior - abnormalities; Vena Cava, Superior - diagnostic imaging; Vena Cava, Superior - surgery; Trans-pulmonary echocardiography; Superior sinus venous type atrial septal defect; Partial abnormal pulmonary venous return
• ISSN: 0910-8327; 1615-2573
• DOI: 10.1007/s00380-015-0631-y

A 37-year-old patient, who suffered from a repeated superior vena cava (SVC) syndrome, was scheduled for stent implantation into SVC, but suffered from contrast anaphylaxis. To monitor the procedure, we used intra-cardiac echocardiography and successfully implanted a stent. Placing an intra-cardiac echocardiographic catheter in the main pulmonary artery and facing towards the right, we could readily visualize stenosis in the SVC and inflation of the stent. Also looking up from right atrium, we noted proximal obstruction of the stent and confirmed the relief of obstruction after additional balloon dilation. This report leads to new application of intra-cardiac echocardiography for intervention of structural and vascular diseases other than inter-atrial septum.