Superior vena cava resection in thoracic malignancies: does prosthetic replacement pose a higher risk?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Francesco LeoUgo Pastorino

Abstract

After superior vena cava (SVC) resection, the need for reconstruction varies among tangential resection, pericardial patch repair and prosthetic replacement. Patients undergoing complete prosthetic replacement often require a different surgical approach, intra-operative SVC cross-clamping and anticoagulation when polytetrafluoroethylene (PTFE) prosthesis is used. This study tested the hypothesis that PTFE replacement may interfere with perioperative outcome. Clinical records from a series of 72 consecutive SVC resections performed between 1998 and 2008 were reviewed. Complications were classed into five categories: surgical, respiratory, cardiac, SVC system thrombosis and nerve damage. Each category of postoperative complications was considered as an outcome variable in a univariate analysis testing 12 covariates as risk factors. Covariates considered clinically relevant or statistically significant were included in the multivariate model. During the considered period, 28 patients underwent total SVC resection with PTFE prosthetic replacement and 44 patients underwent SVC repair by the use of direct running suture (nine patients), stapling (30 patients) or autologous pericardial patch (five patients). Two patients died postoper...Continue Reading

Citations

May 3, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Anna Maria CicconeErino Angelo Rendina
Mar 20, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Andrea BillèUgo Pastorino
Oct 5, 2010·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Cameron D Wright
Oct 12, 2011·Surgical Oncology Clinics of North America·Antonio D'AndrilliErino A Rendina
May 21, 2013·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Leonardo DurantiUgo Pastorino
May 26, 2017·General Thoracic and Cardiovascular Surgery·Yugo TanakaYoshimasa Maniwa
Dec 11, 2020·Indian Journal of Surgical Oncology·Arvind KumarSukhram Bishnoi
Feb 1, 2020·The Thoracic and Cardiovascular Surgeon·Zhenglong ZhangXiaojie Pan
Oct 18, 2020·The Annals of Thoracic Surgery·Luca BertolacciniLorenzo Spaggiari
Jun 30, 2021·The Annals of Thoracic Surgery·Alper TokerGhulam Abbas

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