Superior vena cava recanalization
Anesthesia type

General

Airway

ETT

Lines and access
Monitors

Standard ASA Art line

Primary anesthetic considerations
Preoperative

Airway edema Potential mediastinal mass

Intraoperative

Major vessel injury Pulmonary embolus

Postoperative
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A superior vena cava recanalization is an interventional radiology procedure performed to treat superior vena cava syndrome.

Overview

Indications

Surgical procedure

The procedure is typically performed via sheath access through a femoral vein.

Preoperative management

Patient evaluation

System Considerations
Airway
  • SVC syndrome may be associated with significant airway edema
  • Evaluate imaging for the presence of an anterior mediastinal mass which could necessitate awake fiberoptic intubation and/or a wire reinforced ETT.
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References