Bridging Stent Placement in Vena Cava Syndrome With Tumor Thrombotic Extension in the Right Atrium

Venous stent placement of symptomatic occlusion of the superior and inferior vena cava is considered the treatment of choice in malignant disease because this technique can restore patency and achieve a relief of symptoms. However, tumor thrombus extension into the right atrium harbors the potential...

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Veröffentlicht in:Vascular and endovascular surgery 2021-01, Vol.55 (1), p.69-72
Hauptverfasser: Zander, Tobias, Caro, Vanesa Di, Maynar, Manuel, Rabellino, Martin
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container_title Vascular and endovascular surgery
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creator Zander, Tobias
Caro, Vanesa Di
Maynar, Manuel
Rabellino, Martin
description Venous stent placement of symptomatic occlusion of the superior and inferior vena cava is considered the treatment of choice in malignant disease because this technique can restore patency and achieve a relief of symptoms. However, tumor thrombus extension into the right atrium harbors the potential risk of stent migration and perforation. One strategy to avoid this potential life-threatening complication could be the placement of a bridging stent from the superior vena cava-to-inferior vena cava. This case reports describes the superior vena cava-to-inferior vena cava bridging stent technique in 2 patients with malignant occlusion of the superior and inferior vena cava. Special considerations such as technical details of the devices and potential complications are discussed.
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source MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection
subjects Aged
Endovascular Procedures - instrumentation
Female
Heart Atria - diagnostic imaging
Heart Atria - pathology
Humans
Male
Middle Aged
Neoplasm Invasiveness
Neoplasms - complications
Neoplasms - diagnostic imaging
Neoplasms - pathology
Stents
Superior Vena Cava Syndrome - diagnostic imaging
Superior Vena Cava Syndrome - etiology
Superior Vena Cava Syndrome - pathology
Superior Vena Cava Syndrome - therapy
Treatment Outcome
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - pathology
Vena Cava, Superior - diagnostic imaging
Vena Cava, Superior - pathology
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - etiology
Venous Thrombosis - pathology
Venous Thrombosis - therapy
title Bridging Stent Placement in Vena Cava Syndrome With Tumor Thrombotic Extension in the Right Atrium
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