Endovascular treatment for superior vena cava obstruction
Journal Title: Postępy Nauk Medycznych - Year 2015, Vol 28, Issue 2
Abstract
Introduction. Superior vena cava syndrome (SVCS) is common complication of malignancy, the lung cancer is the most common cause. The clinical indication for superior vena cava (SVC) endovascular treatment is allevation of superior vena cava syndrome (SVCS) caused by malignant obstruction.Aim. Evaluation of safety and efficacy of SVC stenting in patients with malignant superior vena cava syndrome (SVCS) – our experience.Material and methods. Between 2011 and 2014, data of 112 patients with SVC syndrome, mostly of malignant aetiology, were retrospectively collected. The study included 68 men and 44 women (mean age – 64; range 43-79 years).Results. Stent placement was technically successful in 98% cases. Two stents were found to be obstructed after several months and patients needed repeated angioplasty. There was no stent migration to the right atrium. Haemoptysis was observed in one patient and pulmonary embolism in two cases. There were no major remote complications.Conclusions. Endovascular stenting has become a safe and cost effective treatment for patients with SVCS, providing rapid relief of symptoms and improving their quality of life. Endovascular stenting should be performed in each patient with SVCS.
Authors and Affiliations
Monika Miazga, Tomasz Jargiełło, Anna Drelich-Zbroja, Klaudia Karska, Krzysztof Pyra, Michał Sojka, Marcin Kowalik, Małgorzata Szczerbo-Trojanowska
Żywienie w polskich gospodarstwach domowych o dochodach zbliżonych do minimum egzystencji
<b>Wstęp.</b> GUS wyznacza zakres ubóstwa materialnego w Polsce, a pojęcie „minimum egzystencji” jest używane do identyfikacji tych gospodarstw domowych i ich człon...
Analysis of risk factors in children treated for acute lymphoblastic leukemia in bydgosko-kujawski region in 1976-2010
Introduction. Acute lymphoblastic leukemia (ALL) is the most frequent pediatric malignancy. ALL has been treated with multi-agent chemotherapy from early sixtes.Aim. Analysis of prognostic factor in treatment of childhoo...
Skuteczność kinesiotapingu w leczeniu urazów tkanek miękkich u młodych sportowców
<b>Cel pracy. </b>Celem pracy była ocena skuteczności kinesiotapingu w leczeniu urazów tkanek miękkich u młodych zawodników piłki nożnej.<br><b>Materiał i metody.&a...
Biosynteza, modyfikacje postranslacyjne, dojrzewanie i fizjologiczna funkcja ludzkiej peroksydazy tarczycowej
Peroksydaza tarczycowa (TPO) jest jednocześnie głównym autoantygenem w autoimmunologicznych chorobach tarczycy i kluczowym enzymem, wraz z białkami DUOX, odpowiedzialnym za syntezę hormonów tarczycy. Jeszcze na poziomie...
Pancreatic ischemia with vasospasm in the early phase of severe acute pancreatitis and the role of continuous regional arterial infusion of a protease inhibitor and an antibiotic
Pancreatic ischemia with vasospasm precedes necrotic change of the pancreas in the early phase of acute necrotizing pancreatitis, and increase in coagulability accompanied by severe acute pancreatitis (SAP) may play a cr...