A Review of Open and Endovascular Treatment of Superior Vena Cava Syndrome of Benign Aetiology

Sfyroeras, George S.; Antonopoulos, Constantine N.; Mantas, George; Moulakakis, K.G.; Kakisis, John D.; Brountzos, Elias; Lattimer, Christopher; Geroulakos, George

doi:10.1016/j.ejvs.2016.11.013

Cited by 70 publications

(35 citation statements)

References 20 publications

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“…Although endovascular management is emerging as the first-line treatment of SVC syndrome secondary to FM, some patients will still require surgical decompression because of the severity, extent of the obstructive process, unsuccessful or unfeasible stenting attempts, and evidence of restenosis after previous successful stenting. 3 , 4 …”

Section: Discussionmentioning

confidence: 99%

Vascular homografts as bypass grafts for superior vena cava syndrome due to idiopathic fibrosing mediastinitis

Sfyridis

Shatelen²,

Kalangos

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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Fibrosing mediastinitis can lead to superior vena cava obstruction by generating a fibroinflammatory mass in the mediastinum. Surgical caval reconstruction with conduits could be indicated for cases of unsuccessful or technically unfeasible endovascular stenting and angioplasty. The use of cryopreserved vascular homografts seems to be better than prosthetic conduits for mid- and long-term patency, as was observed in the case we have described in the present report.

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Section: Discussionmentioning

confidence: 99%

Vascular homografts as bypass grafts for superior vena cava syndrome due to idiopathic fibrosing mediastinitis

Sfyridis

Shatelen²,

Kalangos

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Mid-term primary patency rate of endovascular intervention and surgical treatment are similar in central stenosis or occlusion, with a significant incidence of secondary interventions [17]. It would be beneficial to choose endovascular intervention as a first-line treatment because of its less invasiveness and cost-effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Primary Patency Rates of Endovascular Interventions in Hemodialysis Patients with Central Venous Stenosis and Occlusions

et al. 2021

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Introduction:The purpose of this study was to determine the primary patency rate of endovascular interventions in hemodialysis patients who had central venous stenosis or occlusion. Material and methods: Twenty-seven hemodialysis patients, who underwent endovascular intervention between January 2013 and January 2018 for central venous stenosis or total obstruction, were included in the study. Endovascular interventions consisted of percutaneous transluminal angioplasty (PTA) or stent implantation. Primary patency rate of endovascular intervention at the sixth and twelfth months were evaluated. Results: Stent implantation and PTA were used in 5 patients and 22 patients, respectively. Fourteen patients had stenosis and 13 patients had occlusion. The total procedural success rate was 81%, 86% in stenosis and 77% in occlusion. There was no procedure-related complication. The primary patency for PTA at 6 and 12 months were 40% and 10%, respectively. For stent implantation, primary patency rate at 6 and 12 months was 70% and 30%, respectively. Conclusion: Endovascular interventions for central venous stenosis and occlusion are safe, with low rates of technical failure and they can be first-line treatment for central venous stenosis or occlusion in hemodialysis patients.

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“…Approximately 19,000 cases of SVC syndrome occur annually in the United States, whereas IVC syndrome is more rare; accurate statistical data are not available [6].…”

Section: Discussionmentioning

confidence: 99%

Hypotension due to compression of the inferior vena cava by intrathoracic herniation of peritoneal fat during laparoscopic surgery - A case report -

et al. 2018

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Vena cava syndrome is a condition presenting with various symptoms caused by central venous obstruction, which can be divided into superior vena cava (SVC) syndrome and inferior vena cava (IVC) syndrome [1]. Although IVC syndrome is not as well-known as SVC syndrome, IVC obstruction can lead to superficial venous dilation as well as abdominal and lower limb edema [2]. It can have a diverse presentation, ranging from no symptoms to bilateral lower limb edema, hypotension, and supine hypotensive syndrome [2,3].Laparoscopic surgery is widely used to operate on various abdominal organs. Because carbon dioxide gas is insufflated intra-abdominally and the patient's position is changed in order to obtain the required field of view, the anesthesiologist needs to be vigilant regarding changes in the patient's vital signs during surgery.Although case reports of perioperative SVC syndrome are common, perioperative IVC syndrome has been rarely reported [4,5]. Here, we present a case of sustained hypotension due to compression of the IVC by intrathoracic herniation of peritoneal fat during laparoscopic anterior resection, along with a review of the literature. CASE REPORTA 65-year-old man (height, 161 cm; weight, 81 kg) was scheduled for a laparoscopic anterior resection after being diagnosed as having sigmoid colon cancer. The patient had no specific history except for hypertension. Preoperative Vena cava syndrome is caused by central venous obstruction and can be divided into superior vena cava syndrome and inferior vena cava (IVC) syndrome. Symptoms and signs of IVC syndrome vary from no symptoms to lower limb edema, hypotension, and typical venous stasis changes of the lower extremities, such as brownish discoloration of the skin, woody edema, and ulceration. Carbon dioxide pneumoperitoneum, lithotomyTrendelenburg position, and abdominal obesity could increase intra-abdominal pressure. We report a patient undergoing laparoscopic surgery who showed intrathoracic herniation of peritoneal fat induced by elevated intra-abdominal pressure due to the reasons mentioned above, resulting in IVC syndrome and hypotension perioperatively. The patient was treated with a conservative approach because he was asymptomatic except for hypotension on the first postoperative day.

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A Review of Open and Endovascular Treatment of Superior Vena Cava Syndrome of Benign Aetiology

Cited by 70 publications

References 20 publications

Vascular homografts as bypass grafts for superior vena cava syndrome due to idiopathic fibrosing mediastinitis

Vascular homografts as bypass grafts for superior vena cava syndrome due to idiopathic fibrosing mediastinitis

Primary Patency Rates of Endovascular Interventions in Hemodialysis Patients with Central Venous Stenosis and Occlusions

Hypotension due to compression of the inferior vena cava by intrathoracic herniation of peritoneal fat during laparoscopic surgery - A case report -

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