[The palliative treatment of venous stenoses in tumor patients with self-expanding vascular prostheses].
During 53 months 14 patients with tumour-induced obstructions of the superior vena cava (n = 8), the inferior vena cava (n = 2) and iliac veins (n = 4) were treated with self-expandable metallic stents. 21 Wall stents and 5 Gianturco double stents were applied. The follow-up lasted from 2 weeks to 16 months (range = 5.7 months). All patients showed a marked relief of inflow obstruction after stent placement. 6 of 7 patients, who died of their disease during follow-up, were asymptomatic regarding vein obstruction until their death (3 weeks to 16 months). In 6 of 7 still living patients no re-obstruction occurred during follow-up (2 to 16 months). Patency rate was 82%. These results suggest that self-expanding stents are a successful palliative therapy of malignant vein obstructions.
Tacke
J
J
Radiologisches Institut, Kantonsspital Winterthur, Schweiz.
Antonucci
F
F
Stuckmann
G
G
Mattias
P
P
Espinosa
N
N
Zollikofer
C L
CL
D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D009369:Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy; D010166:Palliative Care / Q000295:instrumentation* / Q000706:statistics & numerical data; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D011859:Radiography; D015607:Stents / Q000706:statistics & numerical data; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D013997:Time Factors; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging