{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T08:32:19Z","timestamp":1778661139036,"version":"3.51.4"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Endovascular recanalization and stent reconstruction constitute an effective and safe treatment option for symptomatic thoracic central venous obstruction (TCVO). Rare life-threatening adverse events are possible during or immediately following the procedure, with the most feared one being hemopericardium with cardiac tamponade. A technique to improve efficiency in detection and treatment of cardiac tamponade is described.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>An institutional protocol was established for intraprocedural transthoracic echocardiographic monitoring during the TCVO recanalization procedures. The lower chest and upper abdomen were prepared within the sterile field. A separate stand was set up with unopened supplies needed for pericardial drain placement. Intermittent echocardiographic monitoring was performed throughout the TCVO procedure using a dedicated curvilinear probe prepared on the field. If indicated, an image guided pericardial drain was placed expeditiously.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Four cases of cardiac tamponade were encountered during or immediately post-procedure. All cases demonstrated technically successful and prompt pericardial drain placement with immediate reversal of the tamponade physiology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Echocardiographic monitoring during TCVO reconstruction by interventional radiologists is a useful technique which may aid in early diagnosis and management of cardiac tamponade.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s42155-025-00524-3","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T06:58:34Z","timestamp":1740034714000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intermittent Echocardiographic Monitoring During Superior Vena Cava Recanalization: A Protocol for Early Recognition and Management of Hemopericardium"],"prefix":"10.1186","volume":"8","author":[{"given":"Kara M.","family":"Fitzgerald","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Shin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric J.","family":"Monroe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Abad Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethan","family":"Hua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey Forris Beecham","family":"Chick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"issue":"9","key":"524_CR1","doi-asserted-by":"publisher","first-page":"1236","DOI":"10.1007\/s00270-022-03178-z","volume":"45","author":"EY Aung","year":"2022","unstructured":"Aung EY, Khan M, Williams N, Raja U, Hamady M. Endovascular Stenting in Superior Vena Cava Syndrome: A Systematic Review and Meta-analysis. Cardiovasc Intervent Radiol. 2022;45(9):1236\u201354.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"524_CR2","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1055\/s-2007-971198","volume":"24","author":"SK O'Horo","year":"2007","unstructured":"O\u2019Horo SK, Soares GM, Dubel GJ. Acute Pericardial Effusion during Endovascular Intervention for Superior Vena Cava Syndrome: Case Series and Review. Semin Intervent Radiol. 2007;24(1):82\u20136.","journal-title":"Semin Intervent Radiol"},{"issue":"6","key":"524_CR3","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1016\/j.jvsv.2022.05.008","volume":"10","author":"DS Shin","year":"2022","unstructured":"Shin DS, Jackson TR, Bertino FJ, et al. Kissing Viabahn VBX stent graft reconstruction of thoracic central veins for management of superior vena cava syndrome. J Vasc Surg Venous Lymphat Disord. 2022;10(6):1279\u20131287.e1.","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"issue":"2","key":"524_CR4","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1177\/1129729818791409","volume":"20","author":"BL Dolmatch","year":"2019","unstructured":"Dolmatch BL, Gurley JC, Baskin KM, et al. Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction: Endorsed by the American Society of Diagnostic and Interventional Nephrology (ASDIN), British Society of Interventional Radiology (BSIR), Canadian Interventional Radiology Association (CIRA), Heart Rhythm Society (HRS), Indian Society of Vascular and Interventional Radiology (ISVIR), Vascular Access Society of the Americas (VASA), and Vascular Access Society of Britain and Ireland (VASBI). J Vasc Access. 2019;20(2):114\u201322.","journal-title":"J Vasc Access"},{"key":"524_CR5","doi-asserted-by":"crossref","unstructured":"Bongers KS, Patel V, Gualano SK, Schildhouse RJ. Cardiac tamponade after superior vena cava stenting. BMJ Case Rep. 2020;13(6):e234345. Published 2020 Jun 29.","DOI":"10.1136\/bcr-2020-234345"},{"issue":"1","key":"524_CR6","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/s00270-017-1787-x","volume":"41","author":"EI Cohen","year":"2018","unstructured":"Cohen EI, Beck C, Garcia J, et al. Success Rate and Complications of Sharp Recanalization for Treatment of Central Venous Occlusions. Cardiovasc Intervent Radiol. 2018;41(1):73\u20139.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"2","key":"524_CR7","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1148\/rg.252045075","volume":"25","author":"LS Broderick","year":"2005","unstructured":"Broderick LS, Brooks GN, Kuhlman JE. Anatomic pitfalls of the heart and pericardium. Radiographics. 2005;25(2):441\u201353.","journal-title":"Radiographics"},{"issue":"1","key":"524_CR8","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.jacc.2019.11.021","volume":"75","author":"JG Chiabrando","year":"2020","unstructured":"Chiabrando JG, Bonaventura A, Vecchi\u00e9 A, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(1):76\u201392.","journal-title":"J Am Coll Cardiol"},{"key":"524_CR9","unstructured":"Chiara De Carlini C, Maggiolini S. Pericardiocentesis in cardiac temponade: indications and practical aspects. Eur Soc Card e-Journal of Card Prac. 2017;15(19). Accessed 12 Nov 2023. https:\/\/www.escardio.org\/Journals\/E-Journal-of-Cardiology-Practice\/Volume-15\/Pericardiocentesis-in-cardiac-tamponade-indications-and-practical-aspects."},{"issue":"4","key":"524_CR10","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1055\/s-0035-1564795","volume":"32","author":"DC Stevens","year":"2015","unstructured":"Stevens DC, Butty S, Johnson MS. Superior Vena Cava Rupture and Cardiac Tamponade Complicating the Endovascular Treatment of Malignant Superior Vena Cava Syndrome: A Case Report and Literature Review. Semin Intervent Radiol. 2015;32(4):439\u201344.","journal-title":"Semin Intervent Radiol"},{"issue":"5","key":"524_CR11","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1007\/s002700001795","volume":"24","author":"J Brant","year":"2001","unstructured":"Brant J, Peebles C, Kalra P, Odurny A. Hemopericardium after superior vena cava stenting for malignant SVC obstruction: the importance of contrast-enhanced CT in the assessment of postprocedural collapse. Cardiovasc Intervent Radiol. 2001;24(5):353\u20135.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"12","key":"524_CR12","doi-asserted-by":"publisher","first-page":"2953","DOI":"10.1007\/s42399-020-00629-x","volume":"2","author":"V Anand","year":"2020","unstructured":"Anand V, Maybody M, Fischer GW, Dabo-Trubelja A. Acute Hemodynamic Compromise following Superior Vena Cava Stent Placement: A Case Report. SN Compr Clin Med. 2020;2(12):2953\u20136.","journal-title":"SN Compr Clin Med"},{"issue":"3","key":"524_CR13","doi-asserted-by":"publisher","first-page":"256","DOI":"10.3109\/02841850903578807","volume":"51","author":"D Da Ines","year":"2010","unstructured":"Da Ines D, Chabrot P, Motreff P, et al. Cardiac tamponade after malignant superior vena cava stenting: Two case reports and brief review of the literature. Acta Radiol. 2010;51(3):256\u20139.","journal-title":"Acta Radiol"},{"key":"524_CR14","doi-asserted-by":"crossref","unstructured":"Herren JL, Chan H, Ray CE Jr. Pericardial Drain Placement in Interventional Radiology: An Overview. Semin Intervent Radiol. 2022;39(3):271\u2013274. Published 2022 Aug 31.","DOI":"10.1055\/s-0042-1753523"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-025-00524-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-025-00524-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-025-00524-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T06:58:37Z","timestamp":1740034717000},"score":1,"resource":{"primary":{"URL":"https:\/\/CVIRendovasc.springeropen.com\/articles\/10.1186\/s42155-025-00524-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,20]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["524"],"URL":"https:\/\/doi.org\/10.1186\/s42155-025-00524-3","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,20]]},"assertion":[{"value":"5 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"This study was Institutional Review Board-approved and the need for informed consent was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"E.J.M. is a scientific advisor and speaker for Biogen. J.F.B.C. is a consultant and speaker for Inari Medical, Guerbet, C. R. Bard, Argon Medical Devices, Boston Scientific, NXT Biomedical, and Aidoc.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"14"}}