Wallstent endovascular prosthesis for the treatment of superior vena cava syndrome.

被引:9
作者
Sasano S. [1 ]
Onuki T. [1 ]
Mae M. [1 ]
Oyama K. [1 ]
Sakuraba M. [1 ]
Nitta S. [1 ]
机构
[1] Department of Surgery I, Tokyo Women's Medical University, Shinjuku-ku, 8-1 Kawada-cho, Tokyo
来源
The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 3期
关键词
superior vena cava syndrome; interventional procedure; endovascular prosthesis; self-expanding metallic stent; Wallstent;
D O I
10.1007/BF02913595
中图分类号
学科分类号
摘要
OBJECTIVE: We assessed the clinical outcome of self-expanding Wallstent endovascular prosthesis in the treatment of superior vena cava syndrome due to malignant tumors. METHODS: Eleven patients with malignant superior vena cava syndrome were treated by percutaneous implantation of the self-expanding Wallstent endovascular prosthesis across the stricture site. Patency was defined by the absence of symptoms and signs of superior vena cava syndrome. RESULTS: Ten of the 11 experienced complete symptomatic relief within 3 days of stent implantation. The remaining 1 did not benefit, and required a second procedure, dying of heart failure 5 days after stent implantation. Ten patients remain symptomatically free of superior vena cava syndrome to date or until death in follow-up lasting 17 to 227 days. CONCLUSION: Implantation of the self-expanding Wallstent endovascular prosthesis for malignant superior vena cava syndrome provides rapid symptomatic relief and improves the patient's quality of life.
引用
收藏
页码:165 / 170
页数:5
相关论文
共 101 条
[1]  
Fincher RE(1987)Superior vena cava syndrome: experience in a teaching hospital South Med J 80 1243-5
[2]  
Charnsangavej C(1986)Stenosis of the vena cava: preliminary assessment of treatment with expandable metallic stents Radiology 161 295-8
[3]  
Carrasco CH(1988)Superior vena cava syndrome associated with massive thrombosis: treatment with expandable wire stents Radiology 167 727-8
[4]  
Wallace S(1987)Gianturco expandable wire stents in the treatment of superior vena cava syndrome recurring after maximum-tolerance radiation Cancer 60 1243-6
[5]  
Wright KC(1992)Gianturco self-expanding stents: clinical experience in the vena cava and large veins Cardiovasc Intervent Radiol 15 328-33
[6]  
Ogawa K(1993)Self-expandable metallic stent therapy for superior vena cava syndrome: clinical observations Radiology 189 531-5
[7]  
Richli W(1994)Superior vena caval obstruction managed by the Gianturco Z stent Clin Radiol 49 202-8
[8]  
Putnam JS(1995)Percutaneous management of superior vena cava occlusions Cardiovasc Intervent Radiol 18 367-72
[9]  
Uchida BT(1996)Self-expanding metal stents for palliative treatment of superior vena cava syndrome Cardiovasc Intervent Radiol 19 146-51
[10]  
Antonovic R(1998)Clinical outcome of stenting in superior vena caval syndrome associated with malignant tumors: comparison with conventional treatment Acta Radiol 39 669-74