Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis. (27th May 2018)

• Record Type: Journal Article
• Authors: Bardet, Jérémy; Fabre, Dominique; Brenot, Philippe; Watkins, Claire; Fadel, Elie
• Is Part Of: Open journal of cardiovascular surgery. Volume 10(2018)
• Publication Date: 2018-05-27
• Subjects: Superior vena cava syndrome -- innominate vein -- superior vena cava bifurcation -- mediastinal fibrosis -- endovascular repair -- percutaneous procedure -- stenosis -- stent -- kissing -- sandwich technique; Cardiovascular system -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Heart -- Surgery -- Periodicals; Cardiovascular Diseases; Cardiovascular Surgical Procedures; Cardiovascular System; Cardiovascular system -- Diseases; Cardiovascular system -- Surgery; Periodicals; Electronic journals; Periodicals; 617.41005
• DOI: 10.1177/1179065218771900
• Languages: English
• ISSNs: 1179-0652

Abstract

Purpose: To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis. Case Report: A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year. Conclusions: Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.