Application value of kissing stenting for the treatment of bilateral brachiocephalic-superior vena cava obstruction
10.3760/cma.j.issn.1005-1201.2014.02.014
- VernacularTitle:对吻式支架置入术在双头臂静脉-上腔静脉梗阻中的应用价值
- Author:
Xitong ZHANG
;
Tang LIU
;
Xiangjun HAN
;
Wei ZHANG
;
Dawei LIU
;
Ke XU
- Publication Type:Journal Article
- Keywords:
Brachiocephalic veins;
Vena cava,superior;
Radiology,interventional;
Stents
- From:
Chinese Journal of Radiology
2014;48(2):143-145
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of the kissing stenting in bilateral brachiocephalic-superior vena cava obstruction syndrome.Methods Analysis the clinic effect in 17 patients who received interventional treatment retrospectively.All patients with bilateral brachiocephalic vein-superior vena cava obstruction were caused by malignant tumor.Each patient was implanted two stents by kissing stenting style.Among them,1 patient accompanied thrombosis in brachiocephalic vein was conducted with catheter-directed thrombolysis before stenting.The symptoms,pathological signs and complications were observed after the treatment,patients were underwent follow-up to see whether symptom recurred.Results All 17 patients received successful kissing stenting in bilateral brachiocephalic vein-superior vena cava.The symptoms and pathological signs eliminated after the operation.No serious complications occurred.Seventeen patients were underwent follow-up (1 to 16 months) with no obstructive symptom recurred including 5 patients died of the end-stage of malignant tumor.Conclusion Kissing stenting is a safe and effective methods for the treatment of bilateral brachiocephalic-superior vena cava obstruction.
