Morita R, Akaogi E, Mitsui K, Kuramoto K, Onizuka M, Ishikawa S
Department of Surgery, University of Tsukuba, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Jun;30(6):1110-5.
Treatment of superior vena cava syndrome (SVCS) caused by advanced lung cancer is still controversial. We inserted Gianturco expandable metallic stents (GEMS) in 5 patients with SVCS due to the extension of lung cancer. GEMSs were introduced intravenously through the catheter after intraluminal balloon dilation of the stenotic sites. SVCS was successfully and easily relieved by this method without any significant complication. GEMS placement seems to be a useful alternative to bypass grafting procedure for the treatment of SVCS.
晚期肺癌所致上腔静脉综合征(SVCS)的治疗仍存在争议。我们对5例因肺癌侵犯导致SVCS的患者植入了朱安图可扩张金属支架(GEMS)。在对狭窄部位进行腔内球囊扩张后,通过导管经静脉引入GEMS。通过这种方法,SVCS成功且轻松地得到缓解,没有出现任何严重并发症。对于SVCS的治疗,GEMS置入似乎是旁路移植手术的一种有用替代方法。