• Mon espace de travail
  • Aide IRIS
  • Par Publication Par Personne Par Unité
    • English
    • Français
  • Se connecter
Logo du site

IRIS | Système d’Information de la Recherche Institutionnelle

  • Accueil
  • Personnes
  • Publications
  • Unités
  • Périodiques
UNIL
  • English
  • Français
Se connecter
IRIS
  • Accueil
  • Personnes
  • Publications
  • Unités
  • Périodiques
  • Mon espace de travail
  • Aide IRIS

Parcourir IRIS

  • Par Publication
  • Par Personne
  • Par Unité
  1. Accueil
  2. IRIS
  3. Publication
  4. Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents.
 
  • Détails
Titre

Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents.

Type
article
Institution
Externe
Périodique
AJR: American journal of roentgenology
Auteur(s)
Qanadli, S.D.
Auteure/Auteur
El Hajjam, M.
Auteure/Auteur
Mignon, F.
Auteure/Auteur
de Kerviler, E.
Auteure/Auteur
Rocha, P.
Auteure/Auteur
Barré, O.
Auteure/Auteur
Chagnon, S.
Auteure/Auteur
Lacombe, P.
Auteure/Auteur
Liens vers les personnes
Qanadli, Salah Dine  
ISSN
0361-803X
Statut éditorial
Publié
Date de publication
1999-07
Volume
173
Numéro
1
Première page
159
Dernière page/numéro d’article
64
Peer-reviewed
Oui
Langue
anglais
Notes
--- Old month value: Jul
Résumé
OBJECTIVE: Our purpose is to report our clinical experience with patients who underwent endovascular treatment with Wallstents for subacute or chronic benign obstruction of the superior vena cava (SVC). SUBJECTS AND METHODS: Twelve patients who were an average of 54 +/- 12 years old were referred for treatment of severe SVC syndrome related to implanted central venous catheters (n = 8), postradiation fibrosis (n = 2), a permanent pacemaker (n = 1), or a benign tumor (n = 1). Symptoms were present for an average of 16 weeks (range, 4-48 weeks) before treatment. Diagnosis of SVC obstruction was confirmed with helical CT and pretherapeutic phlebography. Four patients had Stanford's type II stenosis; two, type III; and six, type IV. The mean clinical and radiologic follow-up intervals were 11 months (range, 1-36 months) and 7 months (range, 1 week to 32 months), respectively. RESULTS: Recanalization was successful in all patients. Fifteen stents were implanted in the 12 patients. Stents were placed after percutaneous balloon angioplasty in nine patients, and primary stent placement was attempted in three patients. We immediately achieved a satisfactory SVC diameter in all patients, whose symptoms were relieved completely within 1 week of stent placement. No technical or clinical complications occurred. SVC syndrome recurred in one patient 2 months after stent placement and was treated by placing a second stent. CONCLUSION: Endovascular treatment with stent placement should be considered relevant and safe for refractory benign SVC syndrome. However, a larger series and a longer follow-up period are needed to define the role of stent placement for this syndrome.
Sujets

Adult

Aged

Angioplasty, Balloon

Chronic Disease

Female

Humans

Male

Metals

Middle Aged

Radiography, Interven...

Stents

Superior Vena Cava Sy...

Superior Vena Cava Sy...

Tomography, X-Ray Com...

PID Serval
serval:BIB_1343096B28A4
PMID
10397119
WOS
000081010900032
Permalien
https://iris.unil.ch/handle/iris/45206
Date de création
2008-04-09T15:12:51.526Z
Date de création dans IRIS
2025-05-20T14:21:47Z
  • Copyright © 2024 UNIL
  • Informations légales