[Interventional treatment of the acute and subacute vena cava superior syndrome]

Pneumologie. 2013 Oct;67(10):573-9. doi: 10.1055/s-0033-1344490. Epub 2013 Sep 2.
[Article in German]

Abstract

Background: Superior vena cava syndrome is defined as the lack of central venous inflow through the superior vena cava and can present a life-threatening situation. The acute situation is characterized by dyspnea and requires a fast and effective treatment.

Methods: Using two case reports, endovascular stent therapy for the treatment of acute and subacute superior vena cava syndrome is explained and discussed.

Results: In the first case, we introduce a patient with acute dyspnea due to decompensation of a chronic thrombosis of the superior vena cava. The second case displayed the same acute symptoms consisting of acute dyspnea and upper venous congestion due to a tumor-related compression of the superior vena cava. In both cases, the acute situation of superior vena cava syndrome was successfully treated by stent implantation.

Conclusion: Endovascular treatment of superior vena cava syndrome is an effective option with a high technical success rate.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Disease
  • Aged
  • Blood Vessel Prosthesis*
  • Dyspnea / diagnosis
  • Dyspnea / etiology*
  • Dyspnea / prevention & control*
  • Endovascular Procedures / instrumentation
  • Endovascular Procedures / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Stents*
  • Superior Vena Cava Syndrome / diagnosis*
  • Superior Vena Cava Syndrome / surgery*
  • Treatment Outcome