接吻支架治疗纵隔纤维化所致上腔静脉综合征。

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

摘要

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。

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

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

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

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

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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