Source:http://linkedlifedata.com/resource/pubmed/id/10370001
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1999-7-30
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pubmed:abstractText |
The aim of this study was to report our experience on the management of superior vena cava obstruction (SVCO) secondary to malignant disease, using endovascular procedures. Twenty-six patients with SVCO due to primary or secondary tumors of the lung or the mediastinum, or catheter inserted for treatment of an extra-thoracic neoplasm, had an endovascular therapy which consisted of stenting, angioplasty, thrombo-aspiration or local fibrinolysis. Immediately after the procedure, rapid relief of symptoms occurred in 24 (90 %) of the patients. The mean Kishi's score decreased from 5.5 to 0.96. Immediate complications included one death related to pericarditis bleeding following fibrinolysis. Three patients relapsed after 20 days, 4 months and 6 months, and needed a second stenting. At 6 months the primary patency rate was 83 % and the secondary patency rate was 89 %. Endovascular treatment of SVCOs is a simple and safe procedure to restore the patency of the superior vena cava in malignant SVCO. It should be indicated in most cases as first-line treatment and performed as early as possible.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0938-7994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
965-71
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10370001-Adult,
pubmed-meshheading:10370001-Aged,
pubmed-meshheading:10370001-Aged, 80 and over,
pubmed-meshheading:10370001-Angioplasty, Balloon,
pubmed-meshheading:10370001-Catheterization, Central Venous,
pubmed-meshheading:10370001-Female,
pubmed-meshheading:10370001-Humans,
pubmed-meshheading:10370001-Male,
pubmed-meshheading:10370001-Middle Aged,
pubmed-meshheading:10370001-Radiography, Interventional,
pubmed-meshheading:10370001-Stents,
pubmed-meshheading:10370001-Superior Vena Cava Syndrome,
pubmed-meshheading:10370001-Thoracic Neoplasms,
pubmed-meshheading:10370001-Thrombolytic Therapy,
pubmed-meshheading:10370001-Thrombosis
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pubmed:year |
1999
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pubmed:articleTitle |
Endovascular treatment of superior vena cava obstruction in patients with malignancies.
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pubmed:affiliation |
Department of Radiology and Medical Imaging, CHU A Michallon, BP 217, F-38043 Grenoble Cedex 09, France.
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pubmed:publicationType |
Journal Article
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