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22 March 2021: Articles

Single-Setting Superior Vena Cava Biopsy and Stenting Utilizing Cone Beam Computed Tomography as an Additional Tool

Management of emergency care

Daniel Yuxuan Ong A , Lawrence Han Hwee Quek A , Ivan Kuang Hsin Huang A , Gavin Hock Tai Lim A , Gabriel Chan A , Yi-Wei Wu A , Seung Wook Ryu A , Uei Pua A*

DOI: 10.12659/AJCR.929048

Am J Case Rep 2021; 22:e929048

Figure 1. A–G were obtained from a 68-year-old man with superior vena cava syndrome. (A, B) Computed tomography demonstrates large soft tissue mass causing superior vena cava obstruction. (C, D) Intra-operative venogram demonstrates superior vena cava obstruction with a filling defect corresponding to the mass seen in the prior computed tomography study. (E, F) Live fluoroscopy with cone beam computed tomography confirms optimal positioning of the argon trans-jugular liver biopsy instrument (horizontal arrows) before biopsy samples were obtained. Note the presence of a retained guidewire from a prior vascular intervention (triangle arrow). Intravenous ultrasound is seen within the brachiocephalic vein (curved arrow). (G) Intra-operative venogram demonstrates relief of the superior vena cava obstruction after stenting.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923