Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents.

Détails

ID Serval
serval:BIB_1343096B28A4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents.
Périodique
AJR: American journal of roentgenology
Auteur(s)
Qanadli S.D., El Hajjam M., Mignon F., de Kerviler E., Rocha P., Barré O., Chagnon S., Lacombe P.
ISSN
0361-803X
Statut éditorial
Publié
Date de publication
07/1999
Peer-reviewed
Oui
Volume
173
Numéro
1
Pages
159-64
Langue
anglais
Notes
--- Old month value: Jul
Résumé
OBJECTIVE: Our purpose is to report our clinical experience with patients who underwent endovascular treatment with Wallstents for subacute or chronic benign obstruction of the superior vena cava (SVC). SUBJECTS AND METHODS: Twelve patients who were an average of 54 +/- 12 years old were referred for treatment of severe SVC syndrome related to implanted central venous catheters (n = 8), postradiation fibrosis (n = 2), a permanent pacemaker (n = 1), or a benign tumor (n = 1). Symptoms were present for an average of 16 weeks (range, 4-48 weeks) before treatment. Diagnosis of SVC obstruction was confirmed with helical CT and pretherapeutic phlebography. Four patients had Stanford's type II stenosis; two, type III; and six, type IV. The mean clinical and radiologic follow-up intervals were 11 months (range, 1-36 months) and 7 months (range, 1 week to 32 months), respectively. RESULTS: Recanalization was successful in all patients. Fifteen stents were implanted in the 12 patients. Stents were placed after percutaneous balloon angioplasty in nine patients, and primary stent placement was attempted in three patients. We immediately achieved a satisfactory SVC diameter in all patients, whose symptoms were relieved completely within 1 week of stent placement. No technical or clinical complications occurred. SVC syndrome recurred in one patient 2 months after stent placement and was treated by placing a second stent. CONCLUSION: Endovascular treatment with stent placement should be considered relevant and safe for refractory benign SVC syndrome. However, a larger series and a longer follow-up period are needed to define the role of stent placement for this syndrome.
Mots-clé
Adult, Aged, Angioplasty, Balloon, Chronic Disease, Female, Humans, Male, Metals, Middle Aged, Radiography, Interventional, Stents, Superior Vena Cava Syndrome/etiology, Superior Vena Cava Syndrome/radiography, Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
09/04/2008 17:12
Dernière modification de la notice
20/08/2019 13:41
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