Outcome of stenting in central venous obstruction of benign etiology
| Autor: | Houman Jalaie, Mohammad E. Barbati, Mahmood K. Razavi, Rick de Graaf, Alexander Gombert, Karina Schleimer, Jochen Grommes, Cees H. A. Wittens, Ralph L. M. Kurstjens |
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| Přispěvatelé: | RS: Carim - B04 Clinical thrombosis and Haemostasis, Vascular Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male endovascular treatment medicine.medical_specialty Vena Cava Superior medicine.medical_treatment 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine experience Superior vena cava Angioplasty HISTORY Humans Medicine In patient Endovascular treatment Vascular Patency Aged Retrospective Studies Aged 80 and over endovascular recanalization Superior vena cava syndrome business.industry stenosis VENA-CAVA SYNDROME angioplasty Phlebography Middle Aged medicine.disease Venous Obstruction placement Surgery Stenosis venous stenting Treatment Outcome Etiology Female Stents medicine.symptom Cardiology and Cardiovascular Medicine business Angioplasty Balloon |
| Zdroj: | Vasa-European Journal of Vascular Medicine, 50(1), 45-51. Verlag Hans Huber |
| ISSN: | 0301-1526 |
| DOI: | 10.1024/0301-1526/a000917 |
| Popis: | Summary: Background: The aim of this study is to evaluate long term outcome in patients treated for benign superior vena cava (SVC) syndrome by endovascular techniques. Patients and methods: Between 2015 and 2018, 62 patients suffering from central venous obstruction of benign etiology underwent balloon angioplasty with stent placement for venous obstruction in our department. Patency was assessed clinically, using duplex ultrasound in all patients or with CT-phlebography in selected cases. Results: Median age was 60 years (23–83), forty-one patients (66%) had central venous devices. Swelling of the arm and face were the main symptoms (71%). During the median follow up of 22 months (9–38), cumulative primary patency was 71% after venous stenting. The cumulative assisted primary and the secondary patency were 85% and 92%, respectively. Conclusions: Recanalization and stenting of central vein obstruction has turned out to be the technique of reference and provides satisfactory mid-term patency rates. After adjusting for the risk factors, presence of AV-fistula remained a significant risk factor for recurrent stenosis or loss of patency after intervention. |
| Databáze: | OpenAIRE |
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