[Stent implantation as a palliative therapeutic measure in tumor-induced stenoses of the large veins of the body]. / Stentimplantation als palliative Therapiemassnahme bei tumorinduzierten Stenosen der grossen Körpervenen.
Rofo
; 162(6): 514-20, 1995 Jun.
Article
en De
| MEDLINE
| ID: mdl-7541659
ABSTRACT
PURPOSE:
Self-expandable metallic stents were used to treat patients with malignant venous obstructions to determine their effectiveness in producing symptomatic palliation.METHODS:
20 patients with a total of 28 tumour-induced obstructions of the superior vena cava (n = 13), the inferior vena cava (n = 4), the subclavian (n = 4), the innominate (n = 5) and the iliac veins (n = 2) were treated with self-expandable metallic stents. 38 Gianturco stents and 21 Wallstents were applied. Patients were heparinised during the procedure and up to three days afterwards.RESULTS:
In all patients correct positioning of the stents was achieved. In 16 patients stent placement resulted in relief of their symptoms. In 8 patients the symptoms completely disappeared without recurrence until death as a result of tumour progression. The follow-up ranged from 10 days to 14 months. In 8 still living patients no re-obstruction occurred (follow-up average three months). In one patient thrombotic stent occlusion occurred 6 days after the procedure; the v. cava superior was reopened again by local urokinase therapy. Three patients finally developed re-occlusion due to tumour progression. In one patient stent placement was complicated by migration of the Gianturco stent one day after stent implantation and reocclusion of the subclavian vein.CONCLUSION:
The application of self-expandable metallic stents in patients with malignant venous obstruction is a useful palliative therapy.
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Banco de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Stents
/
Enfermedades Vasculares Periféricas
/
Neoplasias
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
De
Año:
1995
Tipo del documento:
Article