SUCCESSFUL TREATMENT OF PROLONGED SUPERIOR VENA-CAVA SYNDROME WITH THROMBOLYTIC THERAPY - A CASE-REPORT

被引:11
作者
RANTIS, PC
LITTOOY, FN
机构
[1] LOYOLA UNIV,MED CTR,DEPT SURG,MAYWOOD,IL 60153
[2] EDWARD HINES VET ADM MED CTR,DEPT SURG,HINES,IL 60141
关键词
D O I
10.1016/0741-5214(94)90182-1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Superior vena cava (SVC) syndrome is most commonly due to direct compression of the SVC by a tumor. Recently, there has been an increase in the number of cases of SVC syndrome associated with chronic indwelling central venous catheters. We present a case history of a patient with prolonged symptoms of SVC syndrome that was successfully treated with catheter-directed (intraclot) infusion thrombolytic therapy with urokinase. The treatment, prevention, and incidence of SVC syndrome caused by thrombosis associated with catheters is discussed.
引用
收藏
页码:108 / 113
页数:6
相关论文
共 32 条
[1]   BALLOON ANGIOPLASTY FOR SUPERIOR VENA-CAVA OBSTRUCTION [J].
ALI, MK ;
EWER, MS ;
BALAKRISHNAN, PV ;
OCHOA, DA ;
MORICE, RC ;
RAIZNER, AE ;
LAWRIE, GM .
ANNALS OF INTERNAL MEDICINE, 1987, 107 (06) :856-857
[2]   THROMBOSIS - THE MAJOR HICKMAN CATHETER COMPLICATION IN PATIENTS WITH SOLID TUMOR [J].
ANDERSON, AJ ;
KRASNOW, SH ;
BOYER, MW ;
CUTLER, DJ ;
JONES, BD ;
CITRON, ML ;
ORTEGA, LG ;
COHEN, MH .
CHEST, 1989, 95 (01) :71-75
[3]   SUPERIOR VENA-CAVAL OBSTRUCTION IN PATIENTS WITH GUT FAILURE RECEIVING HOME PARENTERAL-NUTRITION [J].
BEERS, TR ;
BURNES, J ;
FLEMING, CR .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1990, 14 (05) :474-479
[4]   VERY LOW-DOSES OF WARFARIN CAN PREVENT THROMBOSIS IN CENTRAL VENOUS CATHETERS - A RANDOMIZED PROSPECTIVE TRIAL [J].
BERN, MM ;
LOKICH, JJ ;
WALLACH, SR ;
BOTHE, A ;
BENOTTI, PN ;
ARKIN, CF ;
GRECO, FA ;
HUBERMAN, M ;
MOORE, C .
ANNALS OF INTERNAL MEDICINE, 1990, 112 (06) :423-428
[5]  
BERN MM, 1986, SURGERY, V99, P216
[6]  
BERTRAND M, 1984, CANCER, V54, P376, DOI 10.1002/1097-0142(19840715)54:2<376::AID-CNCR2820540235>3.0.CO
[7]  
2-R
[8]   PULSED-SPRAY PHARMACOMECHANICAL THROMBOLYSIS - PRELIMINARY CLINICAL-RESULTS [J].
BOOKSTEIN, JJ ;
FELLMETH, B ;
ROBERTS, A ;
VALJI, K ;
DAVIS, G ;
MACHADO, T .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1989, 152 (05) :1097-1100
[9]   PERCUTANEOUS TREATMENT OF SUPERIOR VENA-CAVA SYNDROME [J].
CAPEK, P ;
COPE, C .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1989, 152 (01) :183-184
[10]   STENOSIS OF THE VENA-CAVA - PRELIMINARY ASSESSMENT OF TREATMENT WITH EXPANDABLE METALLIC STENTS [J].
CHARNSANGAVEJ, C ;
CARRASCO, CH ;
WALLACE, S ;
WRIGHT, KC ;
OGAWA, K ;
RICHLI, W ;
GIANTURCO, C .
RADIOLOGY, 1986, 161 (02) :295-298