Long-term results of endovascular stent placement in the superior caval venous system

Cardiovasc Intervent Radiol. Nov-Dec 2001;24(6):388-94. doi: 10.1007/s00270-001-0055-1. Epub 2001 Oct 17.

Abstract

Purpose: To present the long-term results in superior caval stenting for symptomatic obstruction.

Methods: Forty-nine stents were placed in 30 patients: 16 (53%) with malignant lesions, five (17%) with benign lesions and nine (30%) hemodialysis patients. Self-expandable stents were deployed on a first-line basis. Patients were followed clinically as well as by various imaging techniques and survival analysis was performed.

Results: Stent deployment was possible in all cases. Reocclusion was seen in 13 patients, of whom eight belonged to the hemodialysis group. Primary and secondary patency rates for malignant, benign and hemodialysis patients were respectively 74%, 50% and 22%, and 74%, 75% and 56% at 1 year. We had 7% complications and one death from iatrogenic superior vena cava injury.

Conclusion: Primary stenting of superior caval obstruction is a first-choice treatment method achieving good mid-term patency. Patients with hemodialysis shunts must be closely monitored for early reintervention.

Publication types

  • Comparative Study

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / mortality
  • Adult
  • Aged
  • Aged, 80 and over
  • Angioplasty, Balloon
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy
  • Blood Vessel Prosthesis Implantation
  • Female
  • Femoral Artery / abnormalities
  • Femoral Artery / surgery
  • Follow-Up Studies
  • Foreign-Body Migration
  • France
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / therapy
  • Humans
  • Liver Neoplasms / mortality
  • Liver Neoplasms / secondary
  • Lung Neoplasms / complications
  • Lung Neoplasms / mortality
  • Male
  • Middle Aged
  • Renal Dialysis
  • Reoperation
  • Stents*
  • Subclavian Vein / abnormalities
  • Subclavian Vein / surgery
  • Superior Vena Cava Syndrome / complications
  • Superior Vena Cava Syndrome / mortality
  • Superior Vena Cava Syndrome / surgery
  • Time
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Patency / physiology
  • Vena Cava, Superior / surgery*