Abstract:
Objective: To evaluate the efficacy of stent implantation combined with bronchial arterial chemoembolization in the treatment of lung cancer related superior vena cava syndrome.
Methods: From January 2008 to December 2016, 9 patients with superior vena cava syndrome admitted to our hospital were treated with stent implantation and bronchial artery chemoembolization.
Results: Among these patients, 10 self-expandable stents were positioned in place, with one patient who had a long stenosis, and thus having two self-expandable stents placed. 9 had balloon (10-12 mm). The stent implantation angiography showed a smooth flow, and the lesion segment SVC cavity expanded among these patients. No SVC rupture and other serious complications were observed. The clinical symptoms of all patients were improved 3~7 days after implantation. Of the 9 patients, one died and eight were followed up for 6 to 36 months. Seven patients remained unobstructed during their survival. 1 patient had SVCS recurrence 46 days after the implantation, however, a new self-expandable stent was placed in the original foci to restore patency.
Conclusion: Stent implantation combined with bronchial arterial chemoembolization is an effective method for the treatment of superior vena cava syndrome caused by lung cancer.
Key words:
Stent implantation,
Bronchial artery,
Embolization,
Chemotherapy,
Lung cancer,
Superior vena cava syndrome
Chang Jin, Changsheng Wu, Meng Zhao, Ruiqiang Yan, Lei Zhang, Haiyan Liu, Yongxu Mu. Effect of stent implantation combined with bronchial arterial chemoembolization in the treatment of superior vena cava syndrome caused by lung cancer[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2017, 05(02): 94-97.