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Gianturco-Rösch expandable Z-stents in the treatment of superior vena cava syndrome

  • Vascular Applications: Veins
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Abstract

Gianturco-Rösch expandable Z-stents were used in 22 patients with superior vena cava syndrome (SVCS). Stents were placed in all patients in the SVC and in 17 patients, also into the innominate veins. Stent placement resulted in complete relief of symptoms in all patients. Twenty-one patients had no SVCS recurrence from 1 to 16 months, to their death, or to the present time. SVCS recurred only in 1 patient 9 months after stent placement due to tumor ingrowth and secondary thrombosis. Based on ours and on other reported experiences, expandable metallic stents are effective devices for treatment of the SVCS which is difficult to manage by other means.

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References

  1. Rösch J, Bedell JR, Putnam J, Antonovic R, Uchida B (1987) Gianturco expandable wire stents in the treatment of superior vena cava syndrome recurring after maximum-tolerance radiation. Cancer 60:1243–1246

    Article  PubMed  Google Scholar 

  2. Putnam JS, Uchida BT, Antonovic R, Rösch J (1988) Superior vene cava syndrome associate with massive thrombosis: Treatment with expandable wire stents. Radiology 167:727–728

    Article  CAS  PubMed  Google Scholar 

  3. Charnsangavej C, Carrasco CH, Wallace S, Wright KC, Ogawa K, Richli W, Gianturco C (1986) Stenosis of the vena cava: Preliminary assessment of treatment with expandable metallic stents. Radiology 161:295–298.

    Article  CAS  PubMed  Google Scholar 

  4. Carrasco CH, Charnsangavej C, Wallace S, Wright KC, Gianturco C (1990) Gianturco stent in vena cava stenoses. 15th Annual Meeting Interventional Radiology, Miami Beach, Fl, March 26–29

  5. Wholey MH (1990) Interventional approach to superior vena caval syndromes. II International Congress Laser and stent Therapy in Vascular Surgery, Scottsdale, Arizona, February 10–15

  6. Yamada R, Yang R, Sonomura T, Tsuda M, Sato M, Rösch J, Uchida B (1990) Usefulness of expandable metallic stents in treatment for venous obstruction. 3rd Intl Symp of Interventional Radiology and New Vascular Imaging, Nara Japan, May 10–12

  7. Sano A, Masada T, Murakami M, Kuroda Y, Huaang CL, Kitano T, Ichijima K (1990) Modified Gianturco expandable wire stents for SVC stenosis in a patient with lung cancer. 3rd Int Symp of Interventional Radiology and New Vascular Imaging, Nara, Japan, May 10–12

  8. Castañeda-Zúñiga WR (1990) Clinical experience placing Gianturco vascular stents in the venous system. 2nd Congr Intl of Interventional Radiology in Cardiovascular Diseases, Toulouse, France, February 28–March 2

  9. Fernando CC, Rösch J, Hunter DW, Yedlicka JW Jr., Castañeda-Zúñiga WR, Amplatz K (1992) Giaturco stents in the venous system. In: Castañeda-Zúñiga WR, Tadaworthy SM (eds) Interventional Radiology, 2nd ed, Williams & Wilkins, Baltimore

    Google Scholar 

  10. Rösch J, Keller FS, Uchida BT, Barton RE (1992) Interventional treatment of large vein obstructions. In: Strandness DE, Jr., Van Breda A (eds) Vascular Disease: Surgical and Interventional Therapy. Churchill Livingstone, New York, in press

    Google Scholar 

  11. Zollikofer C, Antonucci F, Stuckmann G, Irving D, Salomonowitz E (1990) Self-expanding stents in veins, grafts and dialysis shunts: Long-term follow up. II Intl Course on Vascular-Interventional Radiology As A Therapeutic Alternative. Las Palmas-Canary Island, February 23–24

  12. Elson JD, Becker GJ, Wholey MH, Ehrman KO (1991) Vena caval and central venous stenoses: Management with Palmaz balloon-expandable intraluminal stents. JVIR 2:215–223

    Article  CAS  PubMed  Google Scholar 

  13. Dondelinger RF, Goffette P, Kurdziel JC, Roche A (1991) Expandable metal stents for stenoses of the venae cavac and large veins. Semin Interven Radiol 8:252–263

    Article  Google Scholar 

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Rösch, J., Uchida, B.T., Hall, L.D. et al. Gianturco-Rösch expandable Z-stents in the treatment of superior vena cava syndrome. Cardiovasc Intervent Radiol 15, 319–327 (1992). https://doi.org/10.1007/BF02733957

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  • DOI: https://doi.org/10.1007/BF02733957

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