Fast-track management of malignant superior vena cava syndrome.
We report our experience with a combined approach of endovascular biopsy followed by immediate stenting in the management of superior vena cava (SVC) syndrome secondary to obstructing mediastinal masses. A diagnosis of malignancy was obtained in six of eight (75%) biopsies and symptomatic relief was accomplished in all patients. We have found this to be a rapid, safe and effective management strategy that we now consider for all patients presenting with de novo SVC syndrome.
Lee-Elliott
C E
CE
Department of Radiology, Royal Surrey County Hospital, Guildford, GU2 7XX, UK.
Abubacker
M Z
MZ
Lopez
A J
AJ
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D005188:False Negative Reactions; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome