title: Percutaneous endovascular Y-stenting of a malignant superior vena cava and innominate vein obstruction.
abstract: Superior vena cava syndrome (SVCS) is considered one of the telltale signs of a terminal malignant process. We describe a successful endovascular desobliteration of a subtotal occluded SVC and the left innominate vein using a Y-stent technique in a 46-year-old female with a mediastinal nodal metastasis of a relapsing renal cell carcinoma. Complete clinical improvement in the symptoms within the first 24 hours of the procedure and no complication were observed. This report describes endovascular stenting of the SVC as a palliation therapy to overcome the severe clinical symptoms of SVCS besides surgical or chemotherapy in mediastinal malignancy masses.
authors.affiliation: 1Department of Vascular and Endovascular Surgery, Saint Bonifatius Hospital, 49808 Lingen, Germany.
authors.forename: Reginald
authors.initials: R
authors.lastname: Cordial
authors.forename: Mohammed Reza
authors.initials: MR
authors.lastname: Moussavian
authors.forename: José
authors.initials: J
authors.lastname: Corvalan
authors.forename: Hartmut
authors.initials: H
authors.lastname: Görtz
authors.forename: Jörg
authors.initials: J
authors.lastname: Teßarek
mesh_terms: D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000556:secondary; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: endovascular venous stenting; superior vena cava syndrome