scholarly journals Insights Into Endovascular Management of Superior Vena Cava Obstructions

2021 ◽  
Vol 8 ◽  
Author(s):  
Alexandre Ponti ◽  
Sarah Saltiel ◽  
David C. Rotzinger ◽  
Salah D. Qanadli
Keyword(s):  
Superior Vena Cava ◽  
Clinical Symptoms ◽  
Superior Vena ◽  
Vena Cava ◽  
Upper Body ◽  
Superior Vena Cava Obstruction ◽  
Rapid Improvement ◽  
Management Options ◽  
Intravascular Devices ◽  
Collateral Vessels

Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity of clinical symptoms may vary considerably, up to lethal. Etiologies have changed dramatically in recent years, mainly due to the increasing use of intravascular devices. However, guidelines for treatment are lacking, and various options are available. Endovascular therapies developed considerably in recent years, may offer a rapid improvement in symptoms and proved to be safe. However, knowledge and selection of appropriate techniques are essential to venous angioplasty, involving specific tools to guarantee satisfying outcomes. This review aims to discuss the particular venous anatomy of the upper body, the physiopathology of superior vena cava obstruction, and specificities of endovascular treatment compared with other management options.

Significance of collateral vessels on the prediction of superior vena cava syndrome on CT

1993 ◽  
Vol 29 (4) ◽  
pp. 704
Author(s):  
Hyun Sook Kim ◽  
Hyung Jin Kim ◽  
Hyeng Gon Lee ◽  
In Oak Ahn ◽  
Sung Hoon Chung
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Vena Cava Syndrome ◽  
Collateral Vessels

Pacemaker Induced Superior Vena Cava Obstruction: Management by Spiral Vein Graft

1995 ◽  
Vol 18 (4) ◽  
pp. 739-742 ◽  
Author(s):  
J.A. ODELL ◽  
G.R. KEETON ◽  
R.N. SCOTT MILLAR ◽  
S.J. BENINGFIELD
Keyword(s):  
Superior Vena Cava ◽  
Vein Graft ◽  
Superior Vena ◽  
Vena Cava ◽  
Superior Vena Cava Obstruction ◽  
Spiral Vein Graft

Superior vena cava obstruction in small cell bronchogenic carcinoma clinical parameters and survival

Cancer ◽  
1983 ◽  
Vol 52 (11) ◽  
pp. 2165-2172 ◽  
Author(s):  
Anne-Marie Maddox ◽  
Manuel Valdivieso ◽  
John Lukeman ◽  
Terry L. Smith ◽  
Howard E. Barkley ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Bronchogenic Carcinoma ◽  
Superior Vena ◽  
Vena Cava ◽  
Small Cell ◽  
Clinical Parameters ◽  
Superior Vena Cava Obstruction ◽  
Small Cell Bronchogenic Carcinoma

ANOMALIES OF THE PULMONARY VEINS AND THEIR SURGICAL SIGNIFICANCE

PEDIATRICS ◽  
1952 ◽  
Vol 9 (2) ◽  
pp. 152-166
Author(s):  
HARRY G. PARSONS ◽  
ANN PURDY ◽  
BRUCE JESSUP
Keyword(s):  
Superior Vena Cava ◽  
Clinical Symptoms ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Ductus Venosus ◽  
Return Flow ◽  
Right Heart ◽  
Surgical Measures ◽  
The Right

The successful operations upon abnormalities of the outflow tracts of the heart suggest that surgical measures may also be applied to the correction of abnormal inflow tracts. Technically the anastomosis of veins to the auricle has been proved feasible in the experimental animal. Therefore, it should be possible to correct abnormally placed pulmonary veins in man. A wide variety of such anomalies occur. In 55 of 136 reported cases, all the oxygenated blood from the lungs was returned to the right heart through anomalous vessels. Thirty-five per cent of these cases of complete diversion were accompanied by other major cardiac defects. It is estimated that 50% or more of the return flow from the lungs must reach the right heart to produce clinical symptoms. Two cases are presented of persistence of the left superior vena cava which transmitted all the freshly oxygenated blood to the right auricle, by way of the left innominate and the right superior vena cava. The clinical picture was that of growth retardation, minimal cyanosis, a huge hyperactive heart, a loud left mesocardial systolic murmur, pulsating shadows in both upper pulmonary fields, and nearly identical oxygen-saturation of blood obtained from the right heart and femoral artery. One case is reported in which all the oxygenated blood from the lungs is carried to the right auricle by way of the ductus venosus. Surgical correction of the abnormality of these cases by transplantation of one or more of the veins would have been possible. However, no case known to the authors has yet been successfully corrected.

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