Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 오창훈 | - |
dc.date.accessioned | 2024-05-13T16:30:59Z | - |
dc.date.available | 2024-05-13T16:30:59Z | - |
dc.date.issued | 2024 | - |
dc.identifier.issn | 0720-048X | - |
dc.identifier.other | OAK-35253 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/268104 | - |
dc.description.abstract | Purpose: To investigate the safety and efficacy of large-bore uncovered stents for treating malignant superior vena cava syndrome. Methods: This retrospective study included 115 patients (89 men, 26 women; mean age 63.2 years; range 21–83 years) who underwent endovascular large-bore (≥18 mm in diameter) uncovered stent placement between August 2015 and July 2022. One patient was lost to follow-up. Therefore, 114 patients were available for follow-up. Results: Stent placement was technically successful in all 115 patients. Minor procedure-related complications occurred in nine (7.8 %) patients. One hundred eight (93.9 %) patients experienced complete or marked symptomatic relief (Kishi score ≤ 2) at a mean of 3 days after procedure. The cumulative stent patency rates were 98.2 %, 95 %, 93.7 %, 91.5 %, 83.5 %, and 83.5 % at 1, 3, 6, 12, 18, and 24 months, respectively. Stent occlusion occurred in ten (8.8 %) of 114 patients at a mean of 215 days (range 1–732 days) due to thrombosis (n = 7) and tumor ingrowth (n = 3). Stent occlusion did not occur in 21 patients who underwent subsequent central venous catheter insertion. The median patient survival time was 159 days (95 % confidence interval 102–216 days). Univariate and multivariate Cox regression analysis revealed adjuvant anticancer treatment (p = 0.001) and tumor response (p < 0.001) as independent predictors of patient survival. Conclusions: Endovascular placement of large-bore uncovered stents was a safe and effective treatment for malignant superior vena cava syndrome. Large-bore stent placement can effectively prevent stent occlusion by tumor ingrowth in most cases, and it can provide a sufficient diameter for subsequent insertion of central venous catheters. © 2024 Elsevier B.V. | - |
dc.language | English | - |
dc.publisher | Elsevier Ireland Ltd | - |
dc.subject | Angioplasty | - |
dc.subject | Endovascular procedure | - |
dc.subject | Lung cancer | - |
dc.subject | Stent | - |
dc.subject | Superior vena cava syndrome | - |
dc.title | Safety and efficacy of large-bore uncovered stents for treating malignant superior vena cava syndrome | - |
dc.type | Article | - |
dc.relation.volume | 175 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.journaltitle | European Journal of Radiology | - |
dc.identifier.doi | 10.1016/j.ejrad.2024.111446 | - |
dc.identifier.scopusid | 2-s2.0-85189510196 | - |
dc.author.google | Lim Choi | - |
dc.author.google | Sang | - |
dc.author.google | Il Gwon | - |
dc.author.google | Dong | - |
dc.author.google | Ha Kim | - |
dc.author.google | Gun | - |
dc.author.google | Won Kim | - |
dc.author.google | Sung | - |
dc.author.google | Oh | - |
dc.author.google | Chang Hoon | - |
dc.author.google | Ko | - |
dc.author.google | Gi-Young | - |
dc.contributor.scopusid | 오창훈(58526043800) | - |
dc.date.modifydate | 20240513115948 | - |