Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava
To retrospectively clarify the utility of metallic stent placement for the treatment of the malignant obstruction of the superior vena cava (SVC) in 71 patients with VC syndrome (SVCS) on the basis of long-term follow-up data. Seventy-one patients underwent stent placement and were followed until de...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2007-09, Vol.30 (5), p.959-967 |
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| creator | Nagata, Takeshi Makutani, Shiro Uchida, Hideo Kichikawa, Kimihiko Maeda, Munehiro Yoshioka, Tetsuya Anai, Hiroshi Sakaguchi, Hiroshi Yoshimura, Hitoshi |
| description | To retrospectively clarify the utility of metallic stent placement for the treatment of the malignant obstruction of the superior vena cava (SVC) in 71 patients with VC syndrome (SVCS) on the basis of long-term follow-up data.
Seventy-one patients underwent stent placement and were followed until death. The applicability of the spiral Z-stent (S-Z-stent) mainly used the initial and follow-up results, stent placement for bilateral BCV obstruction and the value of concurrent anticancer therapy were studied.
The technical success rate was 100%, the initial clinical success rate was 87% (62/71), the primary clinical patency rate was 88% (57/65), and the secondary clinical patency rate was 95% (62/65). The obstruction rate of the stent was 12% (8/65), and an additional stent was useful for relief of recurrent SVCS. Survival of 57 patients in whom there was no recurrence of SVCS until death ranged from 1 week to 29 months (mean, 5.4 months and the S-Z-stent appeared to be suitable for the treatment of the malignant obstruction of SVC. Unilateral stent placement was effective for relief of SVCS with bilateral BCV obstruction. Patients who received concurrent anticancer therapy survived 2 months longer than those who did not.
Stent placement is an effective treatment for SVCS. Further, the utility of S-Z-stent for SVCS, an additional stent for recurrence, unilateral stent for patients with bilateral BCV obstruction, and anticancer therapy after stent placement were verified. |
| doi_str_mv | 10.1007/s00270-007-9088-4 |
| format | Article |
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Seventy-one patients underwent stent placement and were followed until death. The applicability of the spiral Z-stent (S-Z-stent) mainly used the initial and follow-up results, stent placement for bilateral BCV obstruction and the value of concurrent anticancer therapy were studied.
The technical success rate was 100%, the initial clinical success rate was 87% (62/71), the primary clinical patency rate was 88% (57/65), and the secondary clinical patency rate was 95% (62/65). The obstruction rate of the stent was 12% (8/65), and an additional stent was useful for relief of recurrent SVCS. Survival of 57 patients in whom there was no recurrence of SVCS until death ranged from 1 week to 29 months (mean, 5.4 months and the S-Z-stent appeared to be suitable for the treatment of the malignant obstruction of SVC. Unilateral stent placement was effective for relief of SVCS with bilateral BCV obstruction. Patients who received concurrent anticancer therapy survived 2 months longer than those who did not.
Stent placement is an effective treatment for SVCS. Further, the utility of S-Z-stent for SVCS, an additional stent for recurrence, unilateral stent for patients with bilateral BCV obstruction, and anticancer therapy after stent placement were verified.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-007-9088-4</identifier><identifier>PMID: 17546400</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents - therapeutic use ; BIOMEDICAL RADIOGRAPHY ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - instrumentation ; Brachiocephalic Veins - diagnostic imaging ; DEATH ; Female ; Follow-Up Studies ; Humans ; Male ; Metals ; Middle Aged ; Neoplasms - complications ; Neoplasms - drug therapy ; Neoplasms - mortality ; Neoplasms - radiotherapy ; Neoplasms - surgery ; PATIENTS ; Phlebography ; Prosthesis Design ; RADIOLOGY AND NUCLEAR MEDICINE ; Recurrence ; Retrospective Studies ; Stents ; Superior Vena Cava Syndrome - diagnostic imaging ; Superior Vena Cava Syndrome - etiology ; Superior Vena Cava Syndrome - mortality ; Superior Vena Cava Syndrome - physiopathology ; Superior Vena Cava Syndrome - surgery ; SURGERY ; THERAPY ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; VASCULAR DISEASES ; Vascular Patency</subject><ispartof>Cardiovascular and interventional radiology, 2007-09, Vol.30 (5), p.959-967</ispartof><rights>Springer Science+Business Media, LLC 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-c4d055e05abbd37426ea583ed82080f2d4ed5c05d6837aae69a6c9b6f83516c63</citedby><cites>FETCH-LOGICAL-c420t-c4d055e05abbd37426ea583ed82080f2d4ed5c05d6837aae69a6c9b6f83516c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17546400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21090808$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagata, Takeshi</creatorcontrib><creatorcontrib>Makutani, Shiro</creatorcontrib><creatorcontrib>Uchida, Hideo</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Maeda, Munehiro</creatorcontrib><creatorcontrib>Yoshioka, Tetsuya</creatorcontrib><creatorcontrib>Anai, Hiroshi</creatorcontrib><creatorcontrib>Sakaguchi, Hiroshi</creatorcontrib><creatorcontrib>Yoshimura, Hitoshi</creatorcontrib><title>Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>To retrospectively clarify the utility of metallic stent placement for the treatment of the malignant obstruction of the superior vena cava (SVC) in 71 patients with VC syndrome (SVCS) on the basis of long-term follow-up data.
Seventy-one patients underwent stent placement and were followed until death. The applicability of the spiral Z-stent (S-Z-stent) mainly used the initial and follow-up results, stent placement for bilateral BCV obstruction and the value of concurrent anticancer therapy were studied.
The technical success rate was 100%, the initial clinical success rate was 87% (62/71), the primary clinical patency rate was 88% (57/65), and the secondary clinical patency rate was 95% (62/65). The obstruction rate of the stent was 12% (8/65), and an additional stent was useful for relief of recurrent SVCS. Survival of 57 patients in whom there was no recurrence of SVCS until death ranged from 1 week to 29 months (mean, 5.4 months and the S-Z-stent appeared to be suitable for the treatment of the malignant obstruction of SVC. Unilateral stent placement was effective for relief of SVCS with bilateral BCV obstruction. Patients who received concurrent anticancer therapy survived 2 months longer than those who did not.
Stent placement is an effective treatment for SVCS. Further, the utility of S-Z-stent for SVCS, an additional stent for recurrence, unilateral stent for patients with bilateral BCV obstruction, and anticancer therapy after stent placement were verified.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Brachiocephalic Veins - diagnostic imaging</subject><subject>DEATH</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Metals</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - drug therapy</subject><subject>Neoplasms - mortality</subject><subject>Neoplasms - radiotherapy</subject><subject>Neoplasms - surgery</subject><subject>PATIENTS</subject><subject>Phlebography</subject><subject>Prosthesis Design</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Superior Vena Cava Syndrome - diagnostic imaging</subject><subject>Superior Vena Cava Syndrome - etiology</subject><subject>Superior Vena Cava Syndrome - mortality</subject><subject>Superior Vena Cava Syndrome - physiopathology</subject><subject>Superior Vena Cava Syndrome - surgery</subject><subject>SURGERY</subject><subject>THERAPY</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>VASCULAR DISEASES</subject><subject>Vascular Patency</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkcGKFDEQhoMo7uzoA3iRoOCttZLupDNHWVxXWPCi4C2k09WzWdJJm6RXfAZf2vTOgOAlqUp9_w-pn5BXDN4zgP5DBuA9NLVsDqBU0z0hO9a1vAElfzwlO2B91zAh2AW5zPkegAnFxXNywXrRyQ5gR_5cR-_jr2ZdaMK8-pJpnGjP6GKKw1DbNYyYjtGFI52xGO-dpbnUEV28sThv1RQTLXdIS0JTHl-qiaGz8e4YzNYOuaTVFhfDNtrYvC6YXBU-YDDUmgfzgjybjM_48nzvyffrT9-ubprbr5-_XH28bWzHodRzBCEQhBmGse07LtEI1eKoOCiY-NjhKCyIUaq2NwblwUh7GOSkWsGkle2evD35xlycztYVtHc2hoC2aM6g7hJUpd6dqCXFnyvmomeXLXpvAsY16-rO-sMj-OY_8D6uKdQf6J5LXjdeM9kTdoJsijknnPSS3GzSb81Ab2HqU5h6K7cw9aZ5fTZehxnHf4pzeu1f7qibow</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Nagata, Takeshi</creator><creator>Makutani, Shiro</creator><creator>Uchida, Hideo</creator><creator>Kichikawa, Kimihiko</creator><creator>Maeda, Munehiro</creator><creator>Yoshioka, Tetsuya</creator><creator>Anai, Hiroshi</creator><creator>Sakaguchi, Hiroshi</creator><creator>Yoshimura, Hitoshi</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20070901</creationdate><title>Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava</title><author>Nagata, Takeshi ; Makutani, Shiro ; Uchida, Hideo ; Kichikawa, Kimihiko ; Maeda, Munehiro ; Yoshioka, Tetsuya ; Anai, Hiroshi ; Sakaguchi, Hiroshi ; Yoshimura, Hitoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-c4d055e05abbd37426ea583ed82080f2d4ed5c05d6837aae69a6c9b6f83516c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - 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physiopathology</topic><topic>Superior Vena Cava Syndrome - surgery</topic><topic>SURGERY</topic><topic>THERAPY</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>VASCULAR DISEASES</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagata, Takeshi</creatorcontrib><creatorcontrib>Makutani, Shiro</creatorcontrib><creatorcontrib>Uchida, Hideo</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Maeda, Munehiro</creatorcontrib><creatorcontrib>Yoshioka, Tetsuya</creatorcontrib><creatorcontrib>Anai, Hiroshi</creatorcontrib><creatorcontrib>Sakaguchi, Hiroshi</creatorcontrib><creatorcontrib>Yoshimura, Hitoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagata, Takeshi</au><au>Makutani, Shiro</au><au>Uchida, Hideo</au><au>Kichikawa, Kimihiko</au><au>Maeda, Munehiro</au><au>Yoshioka, Tetsuya</au><au>Anai, Hiroshi</au><au>Sakaguchi, Hiroshi</au><au>Yoshimura, Hitoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>30</volume><issue>5</issue><spage>959</spage><epage>967</epage><pages>959-967</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>To retrospectively clarify the utility of metallic stent placement for the treatment of the malignant obstruction of the superior vena cava (SVC) in 71 patients with VC syndrome (SVCS) on the basis of long-term follow-up data.
Seventy-one patients underwent stent placement and were followed until death. The applicability of the spiral Z-stent (S-Z-stent) mainly used the initial and follow-up results, stent placement for bilateral BCV obstruction and the value of concurrent anticancer therapy were studied.
The technical success rate was 100%, the initial clinical success rate was 87% (62/71), the primary clinical patency rate was 88% (57/65), and the secondary clinical patency rate was 95% (62/65). The obstruction rate of the stent was 12% (8/65), and an additional stent was useful for relief of recurrent SVCS. Survival of 57 patients in whom there was no recurrence of SVCS until death ranged from 1 week to 29 months (mean, 5.4 months and the S-Z-stent appeared to be suitable for the treatment of the malignant obstruction of SVC. Unilateral stent placement was effective for relief of SVCS with bilateral BCV obstruction. Patients who received concurrent anticancer therapy survived 2 months longer than those who did not.
Stent placement is an effective treatment for SVCS. Further, the utility of S-Z-stent for SVCS, an additional stent for recurrence, unilateral stent for patients with bilateral BCV obstruction, and anticancer therapy after stent placement were verified.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>17546400</pmid><doi>10.1007/s00270-007-9088-4</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Cardiovascular and interventional radiology, 2007-09, Vol.30 (5), p.959-967 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_21090808 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Aged, 80 and over Antineoplastic Agents - therapeutic use BIOMEDICAL RADIOGRAPHY Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Brachiocephalic Veins - diagnostic imaging DEATH Female Follow-Up Studies Humans Male Metals Middle Aged Neoplasms - complications Neoplasms - drug therapy Neoplasms - mortality Neoplasms - radiotherapy Neoplasms - surgery PATIENTS Phlebography Prosthesis Design RADIOLOGY AND NUCLEAR MEDICINE Recurrence Retrospective Studies Stents Superior Vena Cava Syndrome - diagnostic imaging Superior Vena Cava Syndrome - etiology Superior Vena Cava Syndrome - mortality Superior Vena Cava Syndrome - physiopathology Superior Vena Cava Syndrome - surgery SURGERY THERAPY Time Factors Tomography, X-Ray Computed Treatment Outcome VASCULAR DISEASES Vascular Patency |
| title | Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava |
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