Reconstruction of the superior vena cava: Benefits of postoperative surveillance and secondary endovascular interventions

Alimi, Yves; Gloviczki, Péter; Vrtiska, Terri J.; Pairolero, Peter C.; Canton, Linda G.; Bower, Thomas C.; Harmsen, William S.; Hallett, John W.; Cherry, Kenneth J.; Stanson, Anthony W.

doi:10.1016/s0741-5214(98)70359-3

Cited by 53 publications

(33 citation statements)

References 28 publications

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“…The most common complaint is a feeling of fullness in the head and neck, exacerbated when bending over or lying flat in bed. Physical signs of SVCS may include enlarged chest wall venous collaterals, facial and neck swelling, facial cyanosis, arm swelling and pleural effusion [1,10,14,19]. Although the majority of SVCS are caused by malignant tumours, thrombosis of the SVC secondary to central venous catheter or pacemaker placement could potentially be the cause [9,13].…”

Section: Discussionmentioning

confidence: 99%

Large thoracic tumour without superior vena cava syndrome

et al. 2017

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A 62-year-old male with long-standing smoking history presented with haemoptysis.Plain chest X-ray showed abnormal findings proximate to the right pulmonary hilum. (Folia Morphol 2017; 76, 4: 748-751) Bronchoscopy revealed a fragile exophytic tumour of the right wall of the lower third of the trachea, infiltrating the right main bronchus (75% stenosis) and the right upper lobar bronchus (near total occlusion

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Section: Discussionmentioning

confidence: 99%

Large thoracic tumour without superior vena cava syndrome

et al. 2017

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“…O fato de os pacientes serem jovens e apresentarem expectativa de vida elevada gera a necessidade da realização de um procedimento com bom resultado a longo prazo. A cirurgia convencional de revascularização venosa com enxerto permanece o tratamento padrão com o qual todas as outras técnicas devem ser comparadas 5,11,17,21 . Atualmente, preconiza-se que esses pacientes devam ser submetidos inicialmente a angioplastia com ou sem a colocação de stent, associada à anticoagulação.…”

Section: Discussionunclassified

Tratamento endovascular da síndrome da veia cava superior: relato de caso e revisão da literatura

et al. 2006

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We report a case of a patient with symptomatic benign superior vena cava syndrome treated by the endovascular technique. The angiographic resonance before angioplasty showed extensive thrombosis of the left brachiocephalic trunk, left subclavian vein and superior vena cava obstruction close to the right brachiocephalic trunk. The patient underwent radical mastectomy 2 years ago with adjuvant chemotherapy and chest radiotherapy. Venous angioplasty and balloonexpandable stenting were performed. Satisfactory result was obtained with immediate relief of symptoms due to recanalization of the right brachiocephalic trunk and superior vena cava. Oral anticoagulation was initiated. The patient is still asymptomatic after 8 months of follow-up. The endovascular treatment is a therapeutic alternative with low morbidity and satisfactory mid-term results that can be offered to patients with superior vena cava syndrome.Keywords: Angioplasty, vena cava, stenosis. ResumoRelatamos o caso de uma paciente portadora de síndrome da veia cava superior sintomática de origem benigna tratada pela técnica endovascular. A angiorressonância magnética pré-angioplastia evidenciou extensa trombose do tronco braquiocefálico esquerdo, da veia subclávia esquerda e obstrução da veia cava superior junto ao tronco braquiocefálico direito. A paciente realizou mastectomia radical 2 anos antes, associada à quimioterapia e radioterapia do tórax. Foram realizados angioplastia venosa e implante de stent expansível por balão. O resultado foi satisfatório, com alívio imediato dos sintomas devido à recanalização da veia cava superior e do tronco braquiocefálico direito. Foi instituída anticoagulação oral. A paciente permanece sem recidiva dos sintomas após 8 meses de acompanhamento. O tratamento endovascular é uma alternativa terapêutica com baixa morbidade e resultado satisfatório a médio prazo que pode ser oferecida aos pacientes portadores de síndrome da veia cava superior.Palavras-chave: Angioplastia, veia cava, estenose.

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“…Before the widespread introduction of endovascular techniques, the surgical reconstruction of the SVC was the treatment of choice for bSVC syndrome even if it has been aggravated by a high rate of complications, also in highly specialized centers [14].…”

Section: Discussionmentioning

confidence: 99%

Long-term success of endovascular treatment of benign superior vena cava occlusion with chylothorax and chylopericardium

Veroux

Bonanno

et al. 2002

Eur Radiol

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The most likely etiology of benign obstruction of the superior vena cava (SVC) include fibrosing mediastinitis and iatrogenic etiologies such as sclerosis and obstruction caused by pacemakers and central venous catheter. Percutaneous stenting of SVC has been used with success both in malignant and benign superior vena cava syndrome; however, long-term follow-up of endovascular procedures is not well known. We present a case of a patient with complete occlusion of SVC of benign etiology, presenting dramatically with bilateral chylothorax and chylopericardium with cardiac tamponade, who underwent successful vena caval revascularization with thrombolytic therapy and placement of self-expanding metallic stent. The 42-month follow-up could encourage endovascular procedures even in SVC syndrome of benign etiology.

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Reconstruction of the superior vena cava: Benefits of postoperative surveillance and secondary endovascular interventions

Abstract: Long-term secondary patency rates justify SVC grafting for benign disease. Postoperative surveillance with contrast venography is indicated in the first year to detect graft problems. Endovascular techniques may salvage and improve the patency of SVC grafts.

Cited by 53 publications

References 28 publications

Large thoracic tumour without superior vena cava syndrome

Large thoracic tumour without superior vena cava syndrome

Tratamento endovascular da síndrome da veia cava superior: relato de caso e revisão da literatura

Long-term success of endovascular treatment of benign superior vena cava occlusion with chylothorax and chylopericardium

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