Tratamiento endovascular del síndrome de vena cava superior

Background: Superior vena cava syndrome (SVCS) is caused by the obstruction of venous drainage from the upper portion of the body. Common clinical findings are headache and cervical, facial and upper limb edema. Occasionally, clouding of consciousness appears. Aim: to report our experience with endo...

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Autores principales:	Bergoeing R,Michel, Mertens M,Renato, Valdés E,Francisco, Krämer Sch,Albrecht, Alvarez Z,Manuel, Bertin C,Pablo, Sagüés C,Rodrigo, Orellana U,Eric, Galindo A,Héctor, Vergara G,Jeannette, Valdebenito C,Magaly
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Angioplasty Stents Superior vena cava syndrome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000700004
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spelling	oai:scielo:S0034-988720060007000042006-08-29Tratamiento endovascular del síndrome de vena cava superiorBergoeing R,MichelMertens M,RenatoValdés E,FranciscoKrämer Sch,AlbrechtAlvarez Z,ManuelBertin C,PabloSagüés C,RodrigoOrellana U,EricGalindo A,HéctorVergara G,JeannetteValdebenito C,Magaly Angioplasty Stents Superior vena cava syndrome Background: Superior vena cava syndrome (SVCS) is caused by the obstruction of venous drainage from the upper portion of the body. Common clinical findings are headache and cervical, facial and upper limb edema. Occasionally, clouding of consciousness appears. Aim: to report our experience with endovascular treatment of SVCS. Material and methods: Retrospective review of all patients with SVCS subjected to endovascular treatment between 1999 and 2005. Results: Eight patients were treated, all of them with malignancies. Six had a benign obstruction due to the presence of a chemotherapy catheter located in the superior vena cava, one had obstruction secondary to radiation therapy and one a tumor compression of the superior vena cava. Two patients underwent thrombolytic therapy. Angioplasty and stenting was performed in all patients. The chemotherapy catheter was removed to all patients and installed again in one. One patient had a hemothorax secondary to a simultaneous needle lung biopsy under video thoracoscopy. No patient died in relation to the procedure. Congestive signs and symptoms subsided in all patients within 24 hours after the procedure. During follow up, only one patient had symptoms related to vena cava obstruction and three died due to their malignant tumor. Conclusions: Endovascular treatment of SVCS has a low rate of complications and provides immediate and mid-term symptom reliefinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.7 20062006-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000700004es10.4067/S0034-98872006000700004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Angioplasty Stents Superior vena cava syndrome
spellingShingle	Angioplasty Stents Superior vena cava syndrome Bergoeing R,Michel Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Alvarez Z,Manuel Bertin C,Pablo Sagüés C,Rodrigo Orellana U,Eric Galindo A,Héctor Vergara G,Jeannette Valdebenito C,Magaly Tratamiento endovascular del síndrome de vena cava superior
description	Background: Superior vena cava syndrome (SVCS) is caused by the obstruction of venous drainage from the upper portion of the body. Common clinical findings are headache and cervical, facial and upper limb edema. Occasionally, clouding of consciousness appears. Aim: to report our experience with endovascular treatment of SVCS. Material and methods: Retrospective review of all patients with SVCS subjected to endovascular treatment between 1999 and 2005. Results: Eight patients were treated, all of them with malignancies. Six had a benign obstruction due to the presence of a chemotherapy catheter located in the superior vena cava, one had obstruction secondary to radiation therapy and one a tumor compression of the superior vena cava. Two patients underwent thrombolytic therapy. Angioplasty and stenting was performed in all patients. The chemotherapy catheter was removed to all patients and installed again in one. One patient had a hemothorax secondary to a simultaneous needle lung biopsy under video thoracoscopy. No patient died in relation to the procedure. Congestive signs and symptoms subsided in all patients within 24 hours after the procedure. During follow up, only one patient had symptoms related to vena cava obstruction and three died due to their malignant tumor. Conclusions: Endovascular treatment of SVCS has a low rate of complications and provides immediate and mid-term symptom relief
author	Bergoeing R,Michel Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Alvarez Z,Manuel Bertin C,Pablo Sagüés C,Rodrigo Orellana U,Eric Galindo A,Héctor Vergara G,Jeannette Valdebenito C,Magaly
author_facet	Bergoeing R,Michel Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Alvarez Z,Manuel Bertin C,Pablo Sagüés C,Rodrigo Orellana U,Eric Galindo A,Héctor Vergara G,Jeannette Valdebenito C,Magaly
author_sort	Bergoeing R,Michel
title	Tratamiento endovascular del síndrome de vena cava superior
title_short	Tratamiento endovascular del síndrome de vena cava superior
title_full	Tratamiento endovascular del síndrome de vena cava superior
title_fullStr	Tratamiento endovascular del síndrome de vena cava superior
title_full_unstemmed	Tratamiento endovascular del síndrome de vena cava superior
title_sort	tratamiento endovascular del síndrome de vena cava superior
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000700004
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Tratamiento endovascular del síndrome de vena cava superior

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