Gianturco self-expanding stents: Clinical experience in the vena cava and large veins |
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Authors: | J Duncan Irving Robert F Dondelinger John F Reidy Hans Schild Robert Dick Andreas Adam Manuel Maynar Christoph L Zollikofer |
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Institution: | (1) Department of Radiology, Centre Hospitalier, Luxembourg;(2) Department of Radiology, Guy’s Hospital, London, England;(3) Department of Radiology, Klinikum der Johannes-Gutenburg, Mainz, Germany;(4) Department of Radiology, Royal Free Hospital, London, England;(5) Department of Radiology, Hammersmith Hospital, London, England;(6) Department of Radiology, Hospital Nuestro Senora de Pino, Las Palmas, Spain;(7) Department of Radiology, Kantonsspital, Winterthur, Switzerland;(8) 170 Coleherne Court, Redcliffe Gardens, SW5 ODX London, England |
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Abstract: | Twenty-five patients with stenosis of the vena cava (21) and other large veins (4) have been treated with self-expanding Gianturco
metallic stents. Eighteen patients had superior vena cava syndrome. In 17, the stricture was due to malignant superior vena
cava compression recurrent after maximum tolerance radiotherapy and/or chemotherapy. In 16 of these patients there was early
symptomatic relief. In 1 patient with a benign posttraumatic superior vena cava stricture, the stenosis was not relieved,
and occlusion occurred after 1 month. Stenoses associated with dialysis shunts were relieved in 2 other patients. Two malignant
and one benign inferior vena cava stenoses were relieved either until death, or in the benign case, for 30 months. One malignant
subclavian vein obstruction occluded after 24 h due to stent misplacement and another with extrinsic mediastinal compression
remained patent until death, extensive thrombus having been lysed prior to stent placement. The results of this short series
suggest that the Gianturco self-expanding stent in the vena cava and large veins is easy and safe to place, and in most cases
produces almost immediate palliation of the distressing effects of venous obstruction, often in a preterminal and inoperable
patient. |
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Keywords: | Vena cava Large veins Strictures Metallic stents |
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