[Roentgeno-endovascular prosthetics of the superior vena cava in compression syndrome]. / Rentgenoéndovaskuliarnoe protezirovanie verkhnei poloi veny pri kompressionnom sindrome.

ABSTRACT

The paper discusses the first Soviet experience of transcatheter intravascular application of endoprosthesis into superior vena cava for compression with paratracheal lymph nodes in a patient suffering Hodgkin's disease. The patient had failed to respond to 3 cycles of combination chemotherapy and 46 Gy of radiation to the mediastinum. Application of the procedure brought the vascular lumen and blood flow to normal which led to regression of compression syndrome. The self-fixing endoprosthesis dilates and forms an interior frame for the vessel thus preventing relapse of compression in case of progression of disease.