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SVC Syndrome with Baylis RF Recanalization

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SVC Syndrome with Baylis RF Recanalization - PowerPoint PPT Presentation


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SVC Syndrome with Baylis RF Recanalization.

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svc syndrome with baylis rf recanalization
SVC Syndrome with Baylis RF Recanalization

40 y-o female with 8 yr history of ESRD after multiple bilateral tunneled dialysis catheters. She had a Left Brachio-cephalic fistula placed and developed both Left arm swelling with pitting edema and facial/palpebral swelling. Diagnosic fistulagraphy confirmed chest wall collaterals consistent with central outflow obstruction and SVC syndrome.

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A snare catheter (wire loop) is placed via the groin up to the medial or central aspect of the obstruction. A RF Baylis wire is used to cross the blockage from the dialysis access site and it is captured via the loop-snare so that the wire is completely through the patient from arm to groin.

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Once the wire is passed through the blockage high-pressure balloon angioplasty and stenting are performed to maintain this recanalized vein segment.

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Left arm fistulagraphy demonstrating central outflow obstruction with collaterals flowing up the neck causing venous congestion and swelling. Chest wall collaterals were also noted which lead to breast engorgement.

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Follow-up SVC and fistulagram demonstrating wide in-line patency and resolution of collaterals after successful recanalization.

the patient s smile tells her story
The patient’s smile tells her story…

Pre-Procedure

Post-Procedure