Percutaneous Transluminal Angioplasty for Complete Membranous Obstruction of Suprahepatic Inferior Vena Cava: Long-Term Results.

Autor: Kucukay F; Department of Interventional Radiology, Turkiye Yuksek Ihtisas Hospital, Sihhiye, 06100, Ankara, Turkey. fkucukay@hotmail.com., Akdogan M; Department of Gastroenterology, Turkiye Yuksek Ihtisas Hospital, Sihhiye, 06100, Ankara, Turkey., Bostanci EB; Department of Gastrointestinal Surgery, Turkiye Yuksek Ihtisas Hospital, Sıhhiye, 06100, Ankara, Turkey., Ulus AT; Department of Cardiovascular Surgery, Hacettepe University, Sıhhiye, 06100, Ankara, Turkey.; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Sihhiye, 06100, Ankara, Turkey., Kucukay MB; Department of Internal Medicine, Lokman Hekim Hospital, Sincan, 06350, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2016 Oct; Vol. 39 (10), pp. 1392-9. Date of Electronic Publication: 2016 Jun 06.
DOI: 10.1007/s00270-016-1394-2
Abstrakt: Purpose: To determine the long-term results of percutaneous transluminal angioplasty (PTA) for a complete membranous obstruction of the suprahepatic inferior vena cava.
Methods: Patients (n = 65) who were referred to the interventional unit for PTA for a complete membranous obstruction of the suprahepatic inferior vena cava between January 2006 and October 2014 were included in the study. Thirty-two patients (18 males, 14 females, mean age 35 ± 10.7, range 20-42 years) were treated. The patients presented with symptoms of ascites (88 %), pleural effusion (53 %), varicose veins (94 %), hepatomegaly (97 %), abdominal pain (84 %), and splenomegaly (40 %). Transjugular liver access set and re-entry catheter were used to puncture and traverse the obstruction from the jugular side. PTA balloon dilations were performed. The mean follow-up period was 65.6 ± 24.5 months. The objective was to evaluate technical success, complications, primary patency, and clinical improvement in the symptoms of the patients.
Results: The technical success rate was 94 %. In two patients, obstruction could not be traversed. These patients underwent cavoatrial graft bypass surgery. There were no procedure-related complications. Clinical improvements were achieved in all patients within 3 months. The primary patency rate at 4 years was 90 %. There was no primary assisted patency. There was no need for metallic stent deployment in the cohort. The secondary patency rate at 4 years was 100 %.
Conclusions: Percutaneous transluminal angioplasty for a complete membranous obstruction of the suprahepatic inferior vena cava is safe and effective, and the long-term results are excellent.
Databáze: MEDLINE
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