Long-term follow-up after endovascular treatment of benign superior vena cava obstructions : P-55
Details
Serval ID
serval:BIB_42404E0494C8
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Long-term follow-up after endovascular treatment of benign superior vena cava obstructions : P-55
Title of the conference
CIRSE 2007, Annual Meeting and Postgraduate Cours of the Cardiovascular and Interventional Radiological Society of Europe
Address
Athens, Greece, September 8th - 12th, 2007
Publication state
Published
Issued date
2007
Notes
Purpose: To report our clinical experience with endovascular treatment of benign superior vena cava (SVC) obstructions.
Materials/Methods: Sixty-four patients with a mean age of 64 years were treated for benign SVC obstruction. Obstructions were related to implanted central venous catheters, postradiation fibrosis, permanent pacemaker, or benign tumors. Obstructions were confirmed with helical CT or phlebography and classified according to the Stanford's classifications: type I (n=2), type II (n=12), type III (n=27), type IV (n=23). The follow-up ranged between 6 and 92 months.
Results: Recanalization was successful in 63/64 patients (98%). 70 stents were implanted in the 58 patients. 46 patients had one stent and 12 patients had two stents. Stents were placed after percutaneous balloon angioplasty in 26 patients and primary stent placement was attempted in 32 patients. All symptomatic patients had their symptoms relieved completely within 1 week of stent placement. No complications occurred. SVC syndrome recurred in three patients during follow-up and was treated by placing a second stent. The primary assisted patency rate was 100%, 98% and 67% at, respectively, 1, 2 and 5 years.
Conclusion: Stent placement in benign SVC obstructions is a safe and minimally invasive procedure with a high long term assisted patency.
Materials/Methods: Sixty-four patients with a mean age of 64 years were treated for benign SVC obstruction. Obstructions were related to implanted central venous catheters, postradiation fibrosis, permanent pacemaker, or benign tumors. Obstructions were confirmed with helical CT or phlebography and classified according to the Stanford's classifications: type I (n=2), type II (n=12), type III (n=27), type IV (n=23). The follow-up ranged between 6 and 92 months.
Results: Recanalization was successful in 63/64 patients (98%). 70 stents were implanted in the 58 patients. 46 patients had one stent and 12 patients had two stents. Stents were placed after percutaneous balloon angioplasty in 26 patients and primary stent placement was attempted in 32 patients. All symptomatic patients had their symptoms relieved completely within 1 week of stent placement. No complications occurred. SVC syndrome recurred in three patients during follow-up and was treated by placing a second stent. The primary assisted patency rate was 100%, 98% and 67% at, respectively, 1, 2 and 5 years.
Conclusion: Stent placement in benign SVC obstructions is a safe and minimally invasive procedure with a high long term assisted patency.
Create date
09/04/2008 17:17
Last modification date
20/08/2019 14:44
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