Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis.

Open journal of cardiovascular surgery Pub Date : 2018-05-29 eCollection Date: 2018-01-01 DOI:10.1177/1179065218771900
Jérémy Bardet, Dominique Fabre, Philippe Brenot, Claire Watkins, Elie Fadel
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引用次数: 9

Abstract

Purpose: To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis.

Case report: A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year.

Conclusions: Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.

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接吻支架治疗纵隔纤维化所致上腔静脉综合征。
目的:报道纵隔纤维化致上腔静脉(SVC)、无名静脉和颈内静脉狭窄后的血管内重建。病例报告:一名36岁女性纵隔纤维化被转诊为症状性SVC综合征(SVCS)。采用夹心技术顺行右股静脉入路,在SVC内置入覆盖支架,并在无名静脉和颈静脉内置入2个吻合支架。她的衰弱症状几乎立即得到缓解。计算机断层扫描显示血管通畅1年。结论:广泛血管内静脉重建是治疗纵隔纤维化致SVCS的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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