This is a 75 year old female with a history of significant left arm swelling of a chronic nature, with heaviness, tiredness, swelling, tingling of the left arm that developed after a port placement via the left subclavian approach for her breast cancer chemotherapy. The porta-cath was removed post-treatment. Following this, she developed significant swelling of the left arm with symptoms as mentioned. On physical exam. there was 5 cm circumferential differential between the left and the right arm, with left arm being larger. Ultrasound of the left arm suggested possible left axillary vein stenosis.
The patient had a venogram performed confirming occlusion of the left axillary and subclavian vein with extensive collateralization.
Endovascular recanalization of the left axillary and subclavian veins was performed with re-entry venogram, confirming intra-luminal position of the catheter. Multiple sequential angioplasties post, with less than optimal results, followed by stenting leading to excellent flow and results. Follow up demonstrated normalization of […]