Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5597872 | Annals of Vascular Surgery | 2017 | 15 Pages |
Abstract
Superior vena cava (SVC) syndrome, characterized by facial and arm swelling, is most frequently caused by intrathoracic malignancies. Decompression may be achieved with endovenous stent placement. Polytetrafluoroethylene-covered stents have shown to have higher long-term cumulative patency rates compared with uncovered stents for the treatment of malignant SVC syndrome. Unfortunately, polytetrafluoroethylene-covered stents are not readily available worldwide. Moreover, the existing armamentarium, including balloon-expandable iCAST stents (maximum diameter 10Â mm) and heparin-coated Viabahn stent-graft endoprostheses (maximum diameter 13Â mm), is too small to adequately treat malignant obstruction of the SVC. This report describes a patient with SVC syndrome and SVC tumor thrombus secondary to recurrent nonseminomatous germ cell carcinoma of the mediastinum treated with a Gianturco Z-stent-fixed modified EXCLUDER abdominal aortic aneurysm iliac limb endoprosthesis.
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Authors
Jeffrey Forris Beecham Chick, Matthew L. Osher, Kyle J. Cooper, Wael E. Saad, David M. Williams, Minhaj S. Khaja,