PMID: 9167757Jun 1, 1997Paper

Treatment of superior and inferior vena cava syndromes of malignant cause with Wallstent catheter placed percutaneously

American Journal of Clinical Oncology
J I Chacón López-MuñizL López Gómez

Abstract

Superior vena cava syndrome (SVCS) and inferior vena cava syndrome (IVCS) represent a severe symptomatic complication of some malignant tumors. Although radiation therapy and chemotherapy are elective, symptomatic relief takes 7-10 days to be achieved, and poor symptomatic benefit can be obtained in relapsed or resistant tumors. We report on a palliative approach using Wallstent catheters placed percutaneously in a series of 16 patients. Results obtained in relief of symptoms were excellent (complete response of cephalea, jugular enlargement, and collateral circulation achieved in 100% [16/16] of patients; complete response of edema obtained in 93% [15/16] of patients). Achievement of symptomatic response was obtained for all symptoms during the first 24 h poststenting, except for edema and dyspnea. Mean duration of patency of the stents was 6.4 months (range 2-17 months). Rates of morbidity and complications were very low. Dyspnea was a quite resistant symptom, and only four of 13 patients (31%) obtained complete response, while partial improvement was obtained in the other nine (79%). However, placement of the stents does not preclude the use of radiation therapy or chemotherapy. We think that these results and those from oth...Continue Reading

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Citations

Dec 6, 2005·Cardiovascular and Interventional Radiology·Kazushi KishiMasanobu Juri
May 5, 2000·Cardiovascular and Interventional Radiology·J H MillerA Price
Jan 23, 2003·The Annals of Thoracic Surgery·Patrick CourtheouxPhilippe Icard
Aug 27, 1998·Seminars in Oncology Nursing·M Joyce, R S Cunningham
Aug 10, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M ShahT Feldman
Mar 15, 2000·Journal of Vascular and Interventional Radiology : JVIR·S M SlonimM D Dake
Jul 5, 2007·Journal of Vascular and Interventional Radiology : JVIR·Gerard J O'SullivanNiall A Gough
Apr 28, 2016·Journal of Vascular and Interventional Radiology : JVIR·Zlatko DevcicDaniel Y Sze
Nov 4, 2020·VASA. Zeitschrift für Gefässkrankheiten·Xin LiSasan Partovi

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