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.
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Authors | F Thony, D Moro, P Witmeyer, S Angiolini, C Brambilla, M Coulomb, G Ferretti |
Journal | European radiology
(Eur Radiol)
Vol. 9
Issue 5
Pg. 965-71
( 1999)
ISSN: 0938-7994 [Print] Germany |
PMID | 10370001
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Angioplasty, Balloon
- Catheterization, Central Venous
(adverse effects)
- Female
- Humans
- Male
- Middle Aged
- Radiography, Interventional
- Stents
- Superior Vena Cava Syndrome
(diagnostic imaging, etiology, therapy)
- Thoracic Neoplasms
(complications)
- Thrombolytic Therapy
- Thrombosis
(drug therapy)
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