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

doi:10.1016/j.jvscit.2019.09.006

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

J Vasc Surg Cases Innov Tech. 2020 Feb 4;6(1):18-20. doi: 10.1016/j.jvscit.2019.09.006. eCollection 2020 Mar.

Authors

Przemyslaw Nowakowski^{1

2}, Piotr Buszman^{3

4}, Stefan Kiesz⁵, Pawel Buszman³

Affiliations

¹ Department of Vascular Surgery, American Heart of Poland, Chrzanow, Poland.
² Andrzej Frycz-Modrzewski Krakow University, Krakow, Poland.
³ Katowice University of Technology, Katowice, Poland.
⁴ San Antonio Heart and Endovascular Institute, San Antonio, Tex.
⁵ Center for Research and Development, American Heart of Poland, Katowice, Poland.

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.

Keywords: Endovascular treatment; Stenting; Vena cava obstruction.

Publication types

Case Reports