Therapy of venous stenosis using wall stents

Deutsche medizinische Wochenschrift
H SchwarzenbergM Heller

Abstract

To evaluate the patency of Wallstents implanted for the treatment of venous stenoses in patients with benign or malignant disease. 22 Wallstents (20 central venous; two peripheral) were implanted during a period of two years in 12 patients (nine men, three women; mean age 57.8 [26-76] years) with malignant venous stenoses (n = 9) or stenosed dialysis shunts (n = 3). Stent diameter ranged from 8-16 mm, length from 32-91 mm. Introduction of the stents were by percutaneous transfemoral catheterisation, in six patients with simultaneous wire placement from a cubital to the femoral vein. The superior vena cava was the involved vessel in six patients (in two each also the subclavian or brachiocephalic veins), in three only the subclavian vein, twice only the inferior vena cava and once the cephalic vein. The patency of the stents was checked after 4.7 +/- 3.6 (1-14) months, in seven patients clinically, by digital subtraction phlebography in three, by computed tomography in two. In nine patients there was no evidence of obstruction to flow or flow was normal. Stent occlusion had occurred in three patients, 4, 9 and 14 months after placement. There were no complications. Five patients died after a mean period of 4.8 +/- 3.6 (1-6.5) mo...Continue Reading

Citations

Dec 6, 2005·Cardiovascular and Interventional Radiology·Kazushi KishiMasanobu Juri
Jan 31, 2003·Clinical Oncology : a Journal of the Royal College of Radiologists·N P Rowell, F V Gleeson
Mar 11, 2015·The Cochrane Database of Systematic Reviews·Nick P Rowell, Fergus V Gleeson
Apr 4, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·T PatelK Fonseca

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