Insights Into Endovascular Management of Superior Vena Cava Obstructions

Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity...

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Autores principales: Alexandre Ponti, Sarah Saltiel, David C. Rotzinger, Salah D. Qanadli
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/21367b273c3248d8a9e9e9943257883a
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spelling oai:doaj.org-article:21367b273c3248d8a9e9e9943257883a2021-11-30T18:01:33ZInsights Into Endovascular Management of Superior Vena Cava Obstructions2297-055X10.3389/fcvm.2021.765798https://doaj.org/article/21367b273c3248d8a9e9e9943257883a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.765798/fullhttps://doaj.org/toc/2297-055XSuperior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity of clinical symptoms may vary considerably, up to lethal. Etiologies have changed dramatically in recent years, mainly due to the increasing use of intravascular devices. However, guidelines for treatment are lacking, and various options are available. Endovascular therapies developed considerably in recent years, may offer a rapid improvement in symptoms and proved to be safe. However, knowledge and selection of appropriate techniques are essential to venous angioplasty, involving specific tools to guarantee satisfying outcomes. This review aims to discuss the particular venous anatomy of the upper body, the physiopathology of superior vena cava obstruction, and specificities of endovascular treatment compared with other management options.Alexandre PontiSarah SaltielDavid C. RotzingerSalah D. QanadliFrontiers Media S.A.articlesuperior vena cavavenous obstructionvenous diseaseendovascular therapiesangioplastystentDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic superior vena cava
venous obstruction
venous disease
endovascular therapies
angioplasty
stent
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle superior vena cava
venous obstruction
venous disease
endovascular therapies
angioplasty
stent
Diseases of the circulatory (Cardiovascular) system
RC666-701
Alexandre Ponti
Sarah Saltiel
David C. Rotzinger
Salah D. Qanadli
Insights Into Endovascular Management of Superior Vena Cava Obstructions
description Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity of clinical symptoms may vary considerably, up to lethal. Etiologies have changed dramatically in recent years, mainly due to the increasing use of intravascular devices. However, guidelines for treatment are lacking, and various options are available. Endovascular therapies developed considerably in recent years, may offer a rapid improvement in symptoms and proved to be safe. However, knowledge and selection of appropriate techniques are essential to venous angioplasty, involving specific tools to guarantee satisfying outcomes. This review aims to discuss the particular venous anatomy of the upper body, the physiopathology of superior vena cava obstruction, and specificities of endovascular treatment compared with other management options.
format article
author Alexandre Ponti
Sarah Saltiel
David C. Rotzinger
Salah D. Qanadli
author_facet Alexandre Ponti
Sarah Saltiel
David C. Rotzinger
Salah D. Qanadli
author_sort Alexandre Ponti
title Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_short Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_full Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_fullStr Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_full_unstemmed Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_sort insights into endovascular management of superior vena cava obstructions
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/21367b273c3248d8a9e9e9943257883a
work_keys_str_mv AT alexandreponti insightsintoendovascularmanagementofsuperiorvenacavaobstructions
AT sarahsaltiel insightsintoendovascularmanagementofsuperiorvenacavaobstructions
AT davidcrotzinger insightsintoendovascularmanagementofsuperiorvenacavaobstructions
AT salahdqanadli insightsintoendovascularmanagementofsuperiorvenacavaobstructions
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