Rabkin I Kh, Gotman L N, Rabkin D I, Krivenko E V, Shabalin A Ia
Vopr Onkol. 1990;36(1):63-9.
The paper discusses the first Soviet experience of transcatheter intravascular application of endoprosthesis into superior vena cava for compression with paratracheal lymph nodes in a patient suffering Hodgkin's disease. The patient had failed to respond to 3 cycles of combination chemotherapy and 46 Gy of radiation to the mediastinum. Application of the procedure brought the vascular lumen and blood flow to normal which led to regression of compression syndrome. The self-fixing endoprosthesis dilates and forms an interior frame for the vessel thus preventing relapse of compression in case of progression of disease.
本文讨论了苏联首例经导管将内支架血管内植入上腔静脉以治疗霍奇金病患者气管旁淋巴结压迫的经验。该患者对3个周期的联合化疗及纵隔46 Gy的放疗均无反应。该手术使血管腔和血流恢复正常,从而导致压迫综合征消退。自固定内支架可扩张并为血管形成内部框架,从而防止疾病进展时压迫复发。