ISSN:
1432-1084
Keywords:
Key words: Vena cava
;
Stenosis
;
Obstruction
;
Interventional procedure
;
Neoplasm
;
Grafts and prosthesis
;
Thrombolysis
;
CT
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract. The aim of this study was to report our experience on the management of superior vena cava obstruction (SVCO) secondary to malignant disease, using endovascular procedures. Twenty-six patients with SVCO due to primary or secondary tumors of the lung or the mediastinum, or catheter inserted for treatment of an extra-thoracic neoplasm, had an endovascular therapy which consisted of stenting, angioplasty, thrombo-aspiration or local fibrinolysis. Immediately after the procedure, rapid relief of symptoms occurred in 24 (90 %) of the patients. The mean Kishi's score decreased from 5.5 to 0.96. Immediate complications included one death related to pericarditis bleeding following fibrinolysis. Three patients relapsed after 20 days, 4 months and 6 months, and needed a second stenting. At 6 months the primary patency rate was 83 % and the secondary patency rate was 89 %. Endovascular treatment of SVCOs is a simple and safe procedure to restore the patency of the superior vena cava in malignant SVCO. It should be indicated in most cases as first-line treatment and performed as early as possible.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s003300050777
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