Stenting in malignant vena caval obstruction

Stenting of superior vena caval obstruction.

Twenty patients with superior vena caval obstruction (SVCO) due to malignancy were managed using the Gianturco Z stent. Three patients had adjunctive thrombolysis. The primary clinical success was 90% (18120 patients). Thirteen patients were free of SVCO to death or follow-up without re-intervention (primary patency= 65%). Three patients had re-intervention for recurrent symptoms, two successfu...

Superior vena caval obstruction caused by sarcoidosis.

Superior vena caval obstruction complicating fibreoptic gastroscopy.

Cardiac involvement and superior vena caval obstruction in Behçet's disease.

A patient with Behçet's disease developed the rare complications of pericarditis and, two months later, superior vena caval obstruction. The latter complication was investigated by angiography to exclude other causes. As a result of this investigation the caval obstruction was managed conservatively, the symptoms and signs improving spontaneously.

Superior vena caval obstruction in total anomalous pulmonary venous connexion.

Total anomalous pulmonary venous connexion may be conveniently classified into supradiaphragmatic and infradiaphragmatic types (Smith, Frye, and Newton, I96I). Infradiaphragmatic forms are usually associated with obstruction to pulmonary venous flow (Johnson et al., I958) and the supradiaphragmatic types are said only rarely to have pulmonary venous obstruction (Lucas et al., I963). However, ob...