Benign superior vena cava syndrome: stenting is now the first line of treatment

Journal of Vascular Surgery
Adnan Z RizviPeter Gloviczki

Abstract

Endovascular repair (EVR) is emerging as first-line treatment for patients with superior vena cava (SVC) syndrome of benign etiology, but data on its durability remain scarce. The aims of this study were to assess the efficacy and durability of EVR and compare results of EVR with open surgical reconstruction (OSR). Data from 70 consecutive patients undergoing treatment for benign SVC syndrome between November 1983 and November 2006 were retrospectively reviewed. There were 30 males and 40 females (mean age, 41 years; range, 5-75 years). Etiology included indwelling catheters or pacemaker wires in 35 patients, mediastinal fibrosis in 31, idiopathic thrombosis in 2, hypercoagulable disorder in 1, and postsurgical thrombosis in 1. In 42 patients, OSR was done through a median sternotomy: repair was with spiral saphenous vein in 22, expanded polytetrafluoroethylene (ePTFE) in 13, femoral vein grafts in 6, and human allograft in 1. Fifteen OSRs followed failed EVR interventions. EVR was attempted in 32 patients and was successful in 28 (88%): 19 had stenting, 14 had percutaneous transluminal balloon angioplasty (PTA), 2 had thrombolytic therapy with PTA, and 3 had stenting. All four technical failures subsequently underwent OSR. The...Continue Reading

References

Mar 1, 1990·Journal of Vascular Surgery·Peter GloviczkiJ W Hallett
Sep 1, 1986·Current Problems in Cancer·A F Nieto, D B Doty
Feb 10, 1999·Journal of Vascular Surgery·J K WellsG P Clagett
May 13, 1999·The Annals of Thoracic Surgery·J R DotyD B Doty
Sep 1, 1951·A.M.A. Archives of Surgery·K P KLASSENG M CURTIS
May 12, 2005·Cardiovascular and Interventional Radiology·Karen T Brown, George I Getrajdman
Jun 1, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Branislav SchifferdeckerAndrew C Eisenhauer
Jun 10, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M A SheikhTeresa L Carman
Dec 30, 2006·Circulation·Wayne RosamondAmerican Heart Association Statistics Committee and Stroke Statistics Subcommittee
Mar 7, 2007·Pacing and Clinical Electrophysiology : PACE·Petri KorkeilaK E Juhani Airaksinen

Citations

Jan 12, 2013·Interactive Cardiovascular and Thoracic Surgery·Richie Chiu-Lung ChanStephen Wing-Keung Cheng
Dec 1, 2012·Case Reports in Vascular Medicine·Elio VenturiniLucia Magni
May 20, 2014·Journal of Vascular Surgery·Maria Lourdes del Río SoláCarlos Vaquero Puerta
Apr 4, 2014·The Annals of Thoracic Surgery·Huadong LiTucheng Sun
Jul 28, 2013·The Surgical Clinics of North America·David A RoseKakra Hughes
Nov 18, 2011·Journal of Vascular and Interventional Radiology : JVIR·Kenneth D MandatoChristopher Doti
Jun 4, 2011·Current Problems in Surgery·Michael J CostanzaVivian Gahtan
Mar 1, 2011·The Annals of Thoracic Surgery·Michael S FirstenbergMichael R Go
Aug 13, 2010·Heart, Lung & Circulation·Alexander LautenFrank M Baer
Apr 8, 2010·Annals of Vascular Surgery·David P Kennedy, Tapash K Palit
Dec 1, 2009·Critical Care Clinics·Deepti BehlTimothy J Moynihan
Aug 12, 2009·Current Problems in Cardiology·Suhail AllaqabandTanvir Bajwa
Jun 30, 2009·The Annals of Thoracic Surgery·Morgan L BrownHartzell V Schaff
Dec 23, 2008·Journal of Vascular and Interventional Radiology : JVIR·Klaus BrechtelJakub Wiskirchen
Aug 25, 2015·The Annals of Thoracic Surgery·T K Susheel KumarChristopher J Knott-Craig
May 18, 2013·Pediatrics International : Official Journal of the Japan Pediatric Society·Khaldoun AlkayedAthar M Qureshi
Apr 5, 2013·Seminars in Dialysis·Unnikrishnan PillaiPaul Kissner
Sep 18, 2012·Pacing and Clinical Electrophysiology : PACE·Sandeep Sainathan, Shahriyour Andaz
Aug 14, 2012·British Journal of Haematology·Campbell TaitBritish Committee for Standards in Haematology
Nov 10, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·John F CanalesZvonimir Krajcer
Jul 22, 2014·Pacing and Clinical Electrophysiology : PACE·Hai-Xia FuYong-Mei Cha
Dec 3, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mark W Burket
Oct 29, 2015·Clinical Case Reports·Mohammed S Al-NatourDaniel Gaudin
Jan 13, 2016·Indian Journal of Anaesthesia·Swetha Malenahalli ChandrashekarappaLakshmi Kumar
Sep 2, 2014·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Shinji OtaniGregory I Snell
Jan 11, 2014·The Clinical Respiratory Journal·Marta Ferrer GalvánLourdes Gómez Izquierdo
Aug 25, 2015·Neurología : publicación oficial de la Sociedad Española de Neurología·J A Crespo-BurilloJ L Capablo-Liesa
Nov 19, 2008·Journal of Vascular Surgery·Frank T PadbergAnton N Sidawy
May 9, 2012·Diagnostic and Interventional Imaging·A LacoutM El Hajjam
Feb 19, 2013·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Vamsidhar Rachapalli, Louis-Martin Boucher
Nov 23, 2011·Journal of Vascular Surgery·Mark IafratiNeil Halin
May 20, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R Scheubel
Mar 24, 2010·AJR. American Journal of Roentgenology·Sheila ShethElliot K Fishman
Nov 7, 2016·Cardiovascular and Interventional Radiology·Alexandra Liv Vest LøvdalKasper Klausen
Jun 26, 2017·Annals of Vascular Surgery·Yusuf ChauhanEric K Peden
Jan 24, 2009·Vascular and Endovascular Surgery·Ahmed AliHisham Rashid
Feb 13, 2018·Vascular and Endovascular Surgery·Shamaita MajumdarOlaguoke Akinwande
Dec 24, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Susanne AntonJan Peter Goltz
Jun 6, 2015·The Journal of Vascular Access·Julia TonakJan Peter Goltz
Mar 25, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Bruce Gray
Apr 17, 2014·Circulation. Cardiovascular Interventions·John O'Dea, Robert M Schainfeld
Jan 1, 2009·Journal of Bronchology & Interventional Pulmonology·Semra BilacerogluAlpaslan Cakan
Dec 1, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Elizabeth H MackRussel Hirsch
Jan 14, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Atilio BarbeitoJonathan B Mark
Mar 2, 2018·Cardiovascular and Interventional Radiology·Mustafa M HaddadHaraldur Bjarnason
Sep 5, 2020·CVIR Endovascular·Anne E Gill, Giridhar M Shivaram
Jul 18, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Mounir RiahiEric Rosenthal
Mar 12, 2011·Cardiovascular and Interventional Radiology·Ryan Jean-BaptisteJoseph J Gemmete
Jun 29, 2013·Journal of General Internal Medicine·Meredith A Schade, Neena M Mirani
Dec 10, 2016·Cardiovascular and Interventional Radiology·Karunakaravel KaruppasamyRam Kishore Gurajala
Jun 7, 2018·Open Journal of Cardiovascular Surgery·Jérémy BardetElie Fadel
Oct 31, 2018·Texas Heart Institute Journal·Jared B HookerMazen S Abu-Fadel
Jan 29, 2011·Current Treatment Options in Cardiovascular Medicine·Ronan Margey, Robert M Schainfeld
Apr 4, 2020·Annals of Saudi Medicine·Mohammed KhalidSyed Hassan
Oct 29, 2020·VASA. Zeitschrift für Gefässkrankheiten·Houman JalaieMohammad Esmaeil Barbati
Dec 29, 2020·JACC. Cardiovascular Interventions·Abdul Hussain AziziRiyaz Bashir
Jan 23, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Pablo V UcedaSam S Ahn
Feb 7, 2021·Journal De Médecine Vasculaire·S MleyhiR Denguir
Oct 24, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Pablo V UcedaSam S Ahn

Related Concepts

Angioplasty, Balloon
Tissue-Engineered Vascular Graft
Femoral Vein
Teflon
Prosthesis Design
Retrospective Studies
Saphenous Vein
Superior Vena Cava Thrombosis
Vascular Patency
Vascular Surgical Procedures

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.