Gianturco Z-Stent Fixation of a Modified Iliac Limb Stent-Graft Endoprosthesis for the Treatment of Malignant Superior Vena Cava Syndrome
Superior vena cava (SVC) syndrome, characterized by facial and arm swelling, is most frequently caused by intrathoracic malignancies. Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates com...
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| Veröffentlicht in: | Annals of vascular surgery 2017-11, Vol.45, p.263.e1-263.e4 |
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| container_end_page | 263.e4 |
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| container_title | Annals of vascular surgery |
| container_volume | 45 |
| creator | Chick, Jeffrey Forris Beecham Osher, Matthew L. Cooper, Kyle J. Saad, Wael E. Williams, David M. Khaja, Minhaj S. |
| description | Superior vena cava (SVC) syndrome, characterized by facial and arm swelling, is most frequently caused by intrathoracic malignancies. Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates compared with uncovered stents for the treatment of malignant SVC syndrome. Unfortunately, polytetrafluoroethylene-covered stents are not readily available worldwide. Moreover, the existing armamentarium, including balloon-expandable iCAST stents (maximum diameter 10 mm) and heparin-coated Viabahn stent-graft endoprostheses (maximum diameter 13 mm), is too small to adequately treat malignant obstruction of the SVC. This report describes a patient with SVC syndrome and SVC tumor thrombus secondary to recurrent nonseminomatous germ cell carcinoma of the mediastinum treated with a Gianturco Z-stent–fixed modified EXCLUDER abdominal aortic aneurysm iliac limb endoprosthesis. |
| doi_str_mv | 10.1016/j.avsg.2017.06.037 |
| format | Article |
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Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates compared with uncovered stents for the treatment of malignant SVC syndrome. Unfortunately, polytetrafluoroethylene-covered stents are not readily available worldwide. Moreover, the existing armamentarium, including balloon-expandable iCAST stents (maximum diameter 10 mm) and heparin-coated Viabahn stent-graft endoprostheses (maximum diameter 13 mm), is too small to adequately treat malignant obstruction of the SVC. This report describes a patient with SVC syndrome and SVC tumor thrombus secondary to recurrent nonseminomatous germ cell carcinoma of the mediastinum treated with a Gianturco Z-stent–fixed modified EXCLUDER abdominal aortic aneurysm iliac limb endoprosthesis.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2017.06.037</identifier><identifier>PMID: 28648654</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - instrumentation ; Blood Vessel Prosthesis Implantation - methods ; Computed Tomography Angiography ; Endovascular Procedures - instrumentation ; Endovascular Procedures - methods ; Humans ; Male ; Mediastinal Neoplasms - complications ; Mediastinal Neoplasms - secondary ; Middle Aged ; Neoplasms, Germ Cell and Embryonal - complications ; Neoplasms, Germ Cell and Embryonal - secondary ; Phlebography - methods ; Prosthesis Design ; Stents ; Superior Vena Cava Syndrome - diagnostic imaging ; Superior Vena Cava Syndrome - etiology ; Superior Vena Cava Syndrome - surgery ; Testicular Neoplasms - complications ; Testicular Neoplasms - pathology ; Treatment Outcome</subject><ispartof>Annals of vascular surgery, 2017-11, Vol.45, p.263.e1-263.e4</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. 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Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates compared with uncovered stents for the treatment of malignant SVC syndrome. Unfortunately, polytetrafluoroethylene-covered stents are not readily available worldwide. Moreover, the existing armamentarium, including balloon-expandable iCAST stents (maximum diameter 10 mm) and heparin-coated Viabahn stent-graft endoprostheses (maximum diameter 13 mm), is too small to adequately treat malignant obstruction of the SVC. This report describes a patient with SVC syndrome and SVC tumor thrombus secondary to recurrent nonseminomatous germ cell carcinoma of the mediastinum treated with a Gianturco Z-stent–fixed modified EXCLUDER abdominal aortic aneurysm iliac limb endoprosthesis.</description><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Computed Tomography Angiography</subject><subject>Endovascular Procedures - instrumentation</subject><subject>Endovascular Procedures - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Mediastinal Neoplasms - complications</subject><subject>Mediastinal Neoplasms - secondary</subject><subject>Middle Aged</subject><subject>Neoplasms, Germ Cell and Embryonal - complications</subject><subject>Neoplasms, Germ Cell and Embryonal - secondary</subject><subject>Phlebography - methods</subject><subject>Prosthesis Design</subject><subject>Stents</subject><subject>Superior Vena Cava Syndrome - diagnostic imaging</subject><subject>Superior Vena Cava Syndrome - etiology</subject><subject>Superior Vena Cava Syndrome - surgery</subject><subject>Testicular Neoplasms - complications</subject><subject>Testicular Neoplasms - pathology</subject><subject>Treatment Outcome</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kb9uFDEQhy0EIkfgBSiQS5pd7P3j9Uo06JQckS6iuEBBY83a4-DT7vqwvafkEXhrfFygpPIU33zjmR8hbzkrOePiw76EY7wvK8a7komS1d0zsuKCt0XbN91zsmKyZ0XLenFBXsW4Z4xXspEvyUUlRSNF26zIr42DOS1Be_q92CWcE712D5Ccn6m3FOitN846NPRmdKDp1k0D_cMVmwA20avZ-EPwMf3A6CK1PtBc0ruAkKaTLltuYXT3c55Dd8sBg8vMN5yBruEIdPc4m-AnfE1eWBgjvnl6L8nX66u79edi-2Vzs_60LXTNulQAaxs-YGvl0BgUHR8qQInCVrzv9WDrduhBGCbarkemLUoG3CLIQUqrja0vyfuzN__654IxqclFjeMIM_olKt7zWlayZm1GqzOq84IxoFWH4CYIj4ozdYpA7dUpAnWKQDGhcgS56d2TfxkmNP9a_t48Ax_PAOYtjw6DitrhrNG4gDop493__L8BQFOadg</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Chick, Jeffrey Forris Beecham</creator><creator>Osher, Matthew L.</creator><creator>Cooper, Kyle J.</creator><creator>Saad, Wael E.</creator><creator>Williams, David M.</creator><creator>Khaja, Minhaj S.</creator><general>Elsevier Inc</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>7X8</scope></search><sort><creationdate>201711</creationdate><title>Gianturco Z-Stent Fixation of a Modified Iliac Limb Stent-Graft Endoprosthesis for the Treatment of Malignant Superior Vena Cava Syndrome</title><author>Chick, Jeffrey Forris Beecham ; 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Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates compared with uncovered stents for the treatment of malignant SVC syndrome. Unfortunately, polytetrafluoroethylene-covered stents are not readily available worldwide. Moreover, the existing armamentarium, including balloon-expandable iCAST stents (maximum diameter 10 mm) and heparin-coated Viabahn stent-graft endoprostheses (maximum diameter 13 mm), is too small to adequately treat malignant obstruction of the SVC. This report describes a patient with SVC syndrome and SVC tumor thrombus secondary to recurrent nonseminomatous germ cell carcinoma of the mediastinum treated with a Gianturco Z-stent–fixed modified EXCLUDER abdominal aortic aneurysm iliac limb endoprosthesis.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28648654</pmid><doi>10.1016/j.avsg.2017.06.037</doi></addata></record> |
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| subjects | Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - methods Computed Tomography Angiography Endovascular Procedures - instrumentation Endovascular Procedures - methods Humans Male Mediastinal Neoplasms - complications Mediastinal Neoplasms - secondary Middle Aged Neoplasms, Germ Cell and Embryonal - complications Neoplasms, Germ Cell and Embryonal - secondary Phlebography - methods Prosthesis Design Stents Superior Vena Cava Syndrome - diagnostic imaging Superior Vena Cava Syndrome - etiology Superior Vena Cava Syndrome - surgery Testicular Neoplasms - complications Testicular Neoplasms - pathology Treatment Outcome |
| title | Gianturco Z-Stent Fixation of a Modified Iliac Limb Stent-Graft Endoprosthesis for the Treatment of Malignant Superior Vena Cava Syndrome |
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