Información del artículo
Resumen
Describimos el caso clínico de una paciente con una estenosis crítica de la vena cava superior producida por una neoplasia pulmonar, con repercusión clínica grave. El tratamiento se realizó mediante técnica endovascular, procediendo a la angioplastia de la lesión mediante un balón de dilatación, con la colocación posterior de un stent. El resultado fue bueno con mejoría clínica sin producirse recidiva de la misma.
Palabras clave:
Vena cava superior
Tratamiento endovascular
Neoplasia
We report the case of a patient with critical stenosis of the superior vena cava produced by a pulmonary neoplasm, which had a severe clinical impact. An endovascular technique was employed, involving angioplasty of the lesion using balloon dilatation, followed by stent placement. The result was good, with clinical improvement and no recurrence of the lesion.
Key words:
Superior vena cava
Endovascular treatment
Neoplasm
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Bibliografía
[1.]
S.D. Qanadli, M. El Hajjam, F. Mignon, E. De Kerviler, P. Rocha, O. Barre, et al.
Subacute and chronic benign superior vena cava obstructions: endovascular treatment with self-expanding metallic stents.
AJR Am J Roentgenol, 173 (1999), pp. 159-164
[2.]
Y.S. Alimi, P. Gloviczki, T.J. Vrtiska, P.C. Pairolero, L.G. Canton, T.C. Bower, et al.
Reconstruction of the superior vena cava: benefits of postoperative surveillance and secondary endovascular interventions.
J Vasc Surg, 27 (1998), pp. 287-299
[3.]
N. Schindler, R.L. Vogelzang.
Superior vena cava syndrome. Experience with endovascular stents and surgical therapy.
Surg Clin North Am, 79 (1999), pp. 683-694
[4.]
J. Hochrein, T.M. Bashore, M.P. O’Laughlin, J.K. Harrison.
Percutaneous stenting of superior vena cava syndrome: a case report and review of the literature.
Am J Med, 104 (1998), pp. 78-84
[5.]
F. Thony, D. Moro, P. Witmeyer, S. Angiolini, C. Brambilla, M. Coulomb, et al.
Endovascular treatment of superior vena cava obstruction in patients with malignancies.
Eur Radiol, 9 (1999), pp. 965-971
[6.]
S.T. Kee, L. Kinoshita, M.K. Razavi, U.R. Nyman, C.P. Semba, M.D. Dake.
Superior vena cava syndrome: treatment with catheter-directed thrombolysis and endovascular stent placement.
Radiology, 206 (1998), pp. 187-193
[7.]
A.D. Laing, K.R. Thomson, J.I. Vrazas.
Stenting in malignant and benign vena cava obstruction.
Australas Radiol, 42 (1998), pp. 313-317
[8.]
W.S. Fletcher, P.C. Lakin, R.F. Pommier, T. Wilmarth.
Results of treatment of inferior vena cava syndrome with expandable metallic stents.
Arch Surg, 133 (1998), pp. 935-938
[9.]
R. Shah, S. Sabanathan, R.A. Lowe, A.J. Mearns.
Stenting in malignant obstruction of superior vena cava.
Thorac Cardiovasc Surg, 112 (1996), pp. 335-340
[10.]
K. Wilhelm, H. Schild, J. Textor, P. Mildenberger, H. Strunk, B. Terjung, et al.
Stent implantation for the palliative therapy of upper inflow obstruction in bronchial carcinoma.
Dtsch Med Wochenschr, 120 (1995), pp. 1419-1425
[11.]
M.T. Crowe, C.H. Davies, P.A. Gaines.
Percutaneous management of superior vena cava occlusions.
Cardiovasc Intervent Radiol, 18 (1995), pp. 367-372
[12.]
N. Tanigawa, S. Sawada, K. Mishima, Y. Okuda, K. Mizukawa, N. Ohmura, et al.
Clinical outcome of stenting in superior vena cava syndrome associated with malignant tumors. Comparison with conventional treatment.
Acta Radiol, 39 (1998), pp. 669-674
[13.]
A.A. Nicholson, D.F. Ettles, A. Arnold, M. Greenstone, J.F. Dyet.
Treatment of malignant superior vena cava obstruction: metal stents or radiation therapy.
J Vasc Interv Radiol, 8 (1997), pp. 781-788
[14.]
M. Mae, K. Oyama, T. Tatebayashi, M. Sakuraba, M. Kanzaki, T. Yoshida, et al.
The use of the Wallstent prosthesis in the treatment of superior vena cava syndrome.
Kyobu Geka, 52 (1999), pp. 395-397
[15.]
D. Schranz, I. Michel-Behnke, F.X. Schmid, H. Oelert.
Intravascular stents for treatment of systemic venous obstructions.
Z Kardiol, 85 (1996), pp. 477-481
[16.]
A.F. Watkinson, D.M. Hansell.
Expandable Wallstent for the treatment of obstruction of the superior vena cava.
Thorax, 48 (1993), pp. 915-920
[17.]
E. Tovar Martín, A. Tovar Pardo, P. Díaz Pardeiro, I. Iglesias Negreira.
Intraluminal leiomysarcoma of the superior vena cava syndrome.
J Cardiovasc Surg, 38 (1997), pp. 33-35
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