Endovascular recanalization of superior vena cava,brachiocephalic, and subclavian venous o

Endovascular recanalization of superior vena cava,brachiocephalic, and subclavian venous occlusions caused by nonmalignant lesions

YE Meng;SHI Ya-xue;HUANG Xiao-zhong;ZHAO Yi-ping;ZHANG Hao;ZHANG Ji-wei

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2012(000)010

【摘要】Background Endovascular recanalization (EVR) is becoming the primary

therapy

for

patients

with

central

venous

(brachiocephalic,subclavian,and superior vena cava) occlusion (CVO) caused by benign etiology.In this study,we retrospectively analyzed our experience in using EVR to treat benign CVO in 10 patients between April 2005 and September 2010.Methods The mean age of the patients was 65.3 years,2/10 cases were female,and the origin of cause of CVO in 7/10 cases was the hemodialysis access in the upper extremity.The patients were treated with primary stent placement and evaluated with immediate technical success rate and post-interventional patency rate after the procedure.Results Eight patients were treated successfully with stent placement and experienced symptomatic relief immediately.No technical complications were observed during EVR treatment.Patients were followed up by ultrasonography and venography.Median follow-up was 13 months,Three patients required secondary procedures to maintain patency.Conclusions EVR is an effective and safe treatment in