Iatrogenic occlusion of bilateral jugular veins, subclavian vein, and superior vena cava after repeated jugular cannulation associated with Arnold-Chiari malformation: Successful endovascular treatment

Przemyslaw Nowakowski, Piotr Buszman, Stefan Kiesz, Pawel Buszman

Research output: Contribution to journalArticle

Abstract

An Arnold-Chiari malformation is a congenital central nervous system defect. Raised intracranial pressure is commonly observed, and posterior decompression neurosurgery is the treatment of choice. We describe a patient with iatrogenic occlusion of bilateral jugular veins, subclavian vein, and superior vena cava resulting from repeated central venous cannulations. Because of venous hypertension, the patient suffered from neurologic symptoms: headaches, vision disturbances, and marked head edema. Two stents were used to recanalize the right internal jugular vein and superior vena cava. Symptoms subsided, and the patient returned to work. During 24-month follow-up, stents were patent. The patient remains symptom free and continues working.

Original languageEnglish (US)
Pages (from-to)18-20
Number of pages3
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume6
Issue number1
DOIs
StatePublished - Mar 2020
Externally publishedYes

Keywords

  • Endovascular treatment
  • Stenting
  • Vena cava obstruction

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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