GIANTURCO-ROSCH EXPANDABLE Z-STENTS IN THE TREATMENT OF SUPERIOR VENA-CAVA SYNDROME

被引:101
作者
ROSCH, J
UCHIDA, BT
HALL, LD
ANTONOVIC, R
PETERSEN, BD
IVANCEV, K
BARTON, RE
KELLER, FS
机构
[1] Charles Dotter Institute for Interventional Therapy, Oregon Health Sciences University, Portland, 97201, Oregon, L342
[2] Veterans Administration Medical Center, Portland, Oregon
关键词
SUPERIOR VENA CAVA SYNDROME; VENOUS OBSTRUCTION; LUNG CARCINOMA; EXPANDABLE METALLIC STENT; GIANTURCO-ROSCH Z-STENT;
D O I
10.1007/BF02733957
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gianturco-Rosch expandable Z-stents were used in 22 patients with superior vena cava syndrome (SVCS). Stents were placed in all patients in the SVC and in 17 patients, also into the innominate veins. Stent placement resulted in complete relief of symptoms in all patients. Twenty-one patients had no SVCS recurrence from 1 to 16 months, to their death, or to the present time. SVCS recurred only in 1 patient 9 months after stent placement due to tumor ingrowth and secondary thrombosis. Based on ours and on other reported experiences, expandable metallic stents are effective devices for treatment of the SVCS which is difficult to manage by other means.
引用
收藏
页码:319 / 327
页数:9
相关论文
共 7 条
[1]  
Rosch J., Bedell J.R., Putnam J., Antonovic R., Uchida B., Gianturco expandable wire stents in the treatment of superior vena cava syndrome recurring after maximum-tolerance radiation, Cancer, 60, pp. 1243-1246, (1987)
[2]  
Putnam J.S., Uchida B.T., Antonovic R., Rosch J., Superior vene cava syndrome associate with massive thrombosis: Treatment with expandable wire stents, Radiology, 167, pp. 727-728, (1988)
[3]  
Charnsangavej C., Carrasco C.H., Wallace S., Wright K.C., Ogawa K., Richli W., Gianturco C., Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stents, Radiology, 161, pp. 295-298, (1986)
[4]  
Fernando C.C., Rosch J., Hunter D.W., Yedlicka J.W., Castaneda-Zuniga W.R., Amplatz K., Tadaworthy S.M., Giaturco stents in the venous system, Interventional Radiology, (1992)
[5]  
Rosch J., Keller F.S., Uchida B.T., Barton R.E., Interventional treatment of large vein obstructions, Vascular Disease: Surgical and Interventional Therapy, (1992)
[6]  
Elson J.D., Becker G.J., Wholey M.H., Ehrman K.O., Vena caval and central venous stenoses: Management with Palmaz balloon-expandable intraluminal stents, JVIR, 2, pp. 215-223, (1991)
[7]  
Dondelinger R.F., Goffette P., Kurdziel J.C., Roche A., Expandable metal stents for stenoses of the venae cavac and large veins, Semin Interven Radiol, 8, pp. 252-263, (1991)