Superior vena cava syndrome surgery: Difference between revisions
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{{Superior vena cava syndrome}} | {{Superior vena cava syndrome}} | ||
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==Surgery== | ==Surgery== | ||
===Stent Placement=== | |||
There have been numerous small studies using an intravascular expandable stent to reopen the occluded [[SVC]]; however, no prospectively designed comparative studies have been published. The reported response rates have been about 90% or greater. There is no agreement on the need for [[anticoagulant]] therapy after stent placement. In one series that used anticoagulant therapy for patients as part of the treatment protocol, there were reports of re-occlusion after this therapy was stopped. However, in another study, 17 [[cancer]] patients who were treated with stents and who did not have anticoagulant therapy had no occlusions. | |||
===Surgical Bypass=== | |||
Surgical bypass of an obstructed [[SVC]] is more appropriate for patients with a [[benign]] obstruction than with a [[malignant]] obstruction, although surgical bypass has also been used for patients with malignant obstructions. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs overview]] | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Disease]] | |||
[[Category:Oncology]] | |||
[[Category:Otolaryngology]] | |||
[[Category:Hematology]] | |||
[[Category:Cardiology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:45, 22 January 2013
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Superior Vena Cava Syndrome Microchapters |
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Differentiating Superior Vena Cava Syndrome from Other Diseases |
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Diagnosis |
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Case Studies |
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Superior vena cava syndrome surgery On the Web |
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American Roentgen Ray Society Images of Superior vena cava syndrome surgery |
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Directions to Hospitals Treating Superior vena cava syndrome |
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Risk calculators and risk factors for Superior vena cava syndrome surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Surgery
Stent Placement
There have been numerous small studies using an intravascular expandable stent to reopen the occluded SVC; however, no prospectively designed comparative studies have been published. The reported response rates have been about 90% or greater. There is no agreement on the need for anticoagulant therapy after stent placement. In one series that used anticoagulant therapy for patients as part of the treatment protocol, there were reports of re-occlusion after this therapy was stopped. However, in another study, 17 cancer patients who were treated with stents and who did not have anticoagulant therapy had no occlusions.
Surgical Bypass
Surgical bypass of an obstructed SVC is more appropriate for patients with a benign obstruction than with a malignant obstruction, although surgical bypass has also been used for patients with malignant obstructions.