Long-term results of endovascular stent placement in the superior caval venous system

To present the long-term results in superior caval stenting for symptomatic obstruction. Forty-nine stents were placed in 30 patients: 16 (53%) with malignant lesions, five (17%) with benign lesions and nine (30%) hemodialysis patients. Self-expandable stents were deployed on a first-line basis. Pat...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2001-11, Vol.24 (6), p.388-394
Main Authors: SMAYRA, Tarek, OTAL, Philippe, CHABBERT, Valérie, CHEMLA, Patricia, ROMERO, Marques, JOFFRE, Francis, ROUSSEAU, Hervé
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - mortality
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Biological and medical sciences
Blood Vessel Prosthesis Implantation
Diseases of the cardiovascular system
Female
Femoral Artery - abnormalities
Femoral Artery - surgery
Follow-Up Studies
Foreign-Body Migration
France
Graft Occlusion, Vascular - etiology
Graft Occlusion, Vascular - therapy
Humans
Liver Neoplasms - mortality
Liver Neoplasms - secondary
Lung Neoplasms - complications
Lung Neoplasms - mortality
Male
Medical sciences
Middle Aged
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Renal Dialysis
Reoperation
Stents
Subclavian Vein - abnormalities
Subclavian Vein - surgery
Superior Vena Cava Syndrome - complications
Superior Vena Cava Syndrome - mortality
Superior Vena Cava Syndrome - surgery
Time
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency - physiology
Vena Cava, Superior - surgery
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Summary:To present the long-term results in superior caval stenting for symptomatic obstruction. Forty-nine stents were placed in 30 patients: 16 (53%) with malignant lesions, five (17%) with benign lesions and nine (30%) hemodialysis patients. Self-expandable stents were deployed on a first-line basis. Patients were followed clinically as well as by various imaging techniques and survival analysis was performed. Stent deployment was possible in all cases. Reocclusion was seen in 13 patients, of whom eight belonged to the hemodialysis group. Primary and secondary patency rates for malignant, benign and hemodialysis patients were respectively 74%, 50% and 22%, and 74%, 75% and 56% at 1 year. We had 7% complications and one death from iatrogenic superior vena cava injury. Primary stenting of superior caval obstruction is a first-choice treatment method achieving good mid-term patency. Patients with hemodialysis shunts must be closely monitored for early reintervention.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-001-0055-1