Jérémy Bardet, Dominique Fabre, Philippe Brenot, Claire Watkins, Elie Fadel
{"title":"Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis.","authors":"Jérémy Bardet, Dominique Fabre, Philippe Brenot, Claire Watkins, Elie Fadel","doi":"10.1177/1179065218771900","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis.</p><p><strong>Case report: </strong>A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year.</p><p><strong>Conclusions: </strong>Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.</p>","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"10 ","pages":"1179065218771900"},"PeriodicalIF":0.0000,"publicationDate":"2018-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179065218771900","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open journal of cardiovascular surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1179065218771900","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 9
Abstract
Purpose: To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis.
Case report: A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year.
Conclusions: Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.
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