Endovascular treatment of superior vena cava obstruction in patients with malignancies View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1999-05

AUTHORS

F. Thony, D. Moro, P. Witmeyer, S. Angiolini, C. Brambilla, M. Coulomb, G. Ferretti

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. More... »

PAGES

965-971

References to SciGraph publications

  • 1992-09-01. Use of the Wallstent in the venous system including hemodialysis-related stenoses in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 1992-09-01. Gianturco self-expanding stents: Clinical experience in the vena cava and large veins in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 1992-09-01. Gianturco-Rösch expandable Z-stents in the treatment of superior vena cava syndrome in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 1996-05. Self-expanding metal stents for palliative treatment of superior vena caval syndrome in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s003300050777

    DOI

    http://dx.doi.org/10.1007/s003300050777

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1053232272

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/10370001


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