CASE REPORT article

Front. Cardiovasc. Med.

Sec. Thrombosis and Haemostasis

Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1540854

This article is part of the Research TopicCase Reports in Thrombosis: 2025View all articles

Resolution of Subdural Hemorrhage Following Interventional Treatment of Superior Vena Cava Occlusion in a Hemodialysis Patient: A Case Report

Provisionally accepted
Qiquan  LaiQiquan LaiLing  ChenLing ChenXuejing  GaoXuejing GaoXi  ZhangXi ZhangZiming  WanZiming Wan*
  • First Affiliated Hospital of Chongqing Medical University, Chongqing, China

The final, formatted version of the article will be published soon.

Superior vena cava syndrome (SVCS) and nontraumatic subdural hemorrhage (SDH) were rare but severe complications in hemodialysis patients. This case report presented a 73-year-old male with end-stage renal disease (ESRD) on long-term hemodialysis who developed SVCS due to central venous occlusion, subsequently complicated by SDH. After interventional treatment of SVCS with balloon angioplasty and stent placement in the left brachiocephalic vein and SVC, both the SVCS and SDH were resolved. This case gave hint to the pathophysiological connection between venous congestion and SDH, as the obstruction of the SVC led to increased intracranial venous pressure, contributing to SDH. Additionally, anticoagulation and dialysis-induced hemodynamic fluctuations may exacerbate the condition. This report highlights the need for timely intervention to relieve venous congestion in SVCS, which not only restores vascular access but also prevents severe neurological complications like SDH in hemodialysis patients.

Keywords: Superior Vena Cava Syndrome, Subdural hemorrhage, end-stage renal disease, Dialysis, case report

Received: 06 Dec 2024; Accepted: 21 May 2025.

Copyright: © 2025 Lai, Chen, Gao, Zhang and Wan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ziming Wan, First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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