Stent implantation as a palliative therapeutic measure in tumor-induced stenoses of the large veins of the body

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
K WilhelmJ Lorenz

Abstract

Self-expandable metallic stents were used to treat patients with malignant venous obstructions to determine their effectiveness in producing symptomatic palliation. 20 patients with a total of 28 tumour-induced obstructions of the superior vena cava (n = 13), the inferior vena cava (n = 4), the subclavian (n = 4), the innominate (n = 5) and the iliac veins (n = 2) were treated with self-expandable metallic stents. 38 Gianturco stents and 21 Wallstents were applied. Patients were heparinised during the procedure and up to three days afterwards. In all patients correct positioning of the stents was achieved. In 16 patients stent placement resulted in relief of their symptoms. In 8 patients the symptoms completely disappeared without recurrence until death as a result of tumour progression. The follow-up ranged from 10 days to 14 months. In 8 still living patients no re-obstruction occurred (follow-up average three months). In one patient thrombotic stent occlusion occurred 6 days after the procedure; the v. cava superior was reopened again by local urokinase therapy. Three patients finally developed re-occlusion due to tumour progression. In one patient stent placement was complicated by migration of the Gianturco stent one day a...Continue Reading

Citations

Jan 31, 2003·Clinical Oncology : a Journal of the Royal College of Radiologists·N P Rowell, F V Gleeson
Apr 7, 2018·Future Oncology·Anna Maria IerardiGianpaolo Carrafiello
Dec 6, 2005·Cardiovascular and Interventional Radiology·Kazushi KishiMasanobu Juri
Mar 11, 2015·The Cochrane Database of Systematic Reviews·Nick P Rowell, Fergus V Gleeson
Jul 8, 2017·Cardiovascular and Interventional Radiology·Daniel KuettingCarsten Meyer

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