Endovascular stenting in superior vena cava syndrome: utility of a through-and-through guidewire technique.
Can Assoc Radiol J
; 51(4): 254-9, 2000 Aug.
Article
em En
| MEDLINE
| ID: mdl-10976248
ABSTRACT
OBJECTIVE:
To describe an ancillary technique when a conventional femoral approach to superior vena cava (SVC) stent placement is not feasible because of buckling of balloon catheters or stent-deployment systems during device advancement. PATIENTS ANDMETHODS:
Three patients in whom device advancement across the SVC lesion from a femoral or axillary approach was unsuccessful were managed by accessing the right jugular vein; SVC lesions were crossed from an antegrade direction, and the jugular guidewire was secured at the femoral access site to create a through-and-through guidewire.RESULTS:
Countertraction on the through-and-through guidewire during stent placement and dilation permitted unhindered advancement of stent delivery systems and catheters across the SVC. Technical and clinical success was achieved in each patient with relief of SVC syndrome within 24-72 hours. Survival ranged from 26 to 137 days.CONCLUSION:
A through-and-through guidewire technique is useful when stenting a highly stenotic or thrombosed SVC in patients with superior vena cava syndrome.
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Base de dados:
MEDLINE
Assunto principal:
Síndrome da Veia Cava Superior
/
Cateterismo
/
Stents
Idioma:
En
Ano de publicação:
2000
Tipo de documento:
Article