Bardet J, Fabre D, Brenot P, Watkins C, Fadel E. Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis.
Open J Cardiovasc Surg 2018;
10:1179065218771900. [PMID:
29872339 PMCID:
PMC5977417 DOI:
10.1177/1179065218771900]
[Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 03/28/2018] [Indexed: 11/20/2022] Open
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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