Case of the Month - October 2024
D - Stent obstruction and filling of tortuous venous collaterals
A non-compliant (“high pressure”) balloon catheter was then used to treat the obstruction. In this case, a 10 x 40 mm Conquest balloon catheter was used with focal waist at the caphalad end of the stent that resolved with full insufflation. Chronic more fibrous lesions often require non-compliant balloon catheters, which can generate sufficient radial force without risking balloon rupture.
Repeat venography with a pigtail flush catheter showed robust flow through a patent stent after venoplasty. The port was then removed to decrease the patient’s risk of current stenosis/obstruction.
SVC interventions are not without potential risk. What is the most catastrophic potential complication of SVC recanalization and venoplasty?
A. Stroke
B. Myocardial infarction
C. Cardiac tamponade
D. Stent migration