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首页> 外文期刊>Vascular and endovascular surgery >Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review
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Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review

机译：经牙进的超声心动图引导在高级腔静脉综合征中的引导支架放置，继发于肉芽肿疾病：案例系列和文献综述

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摘要

Obstruction of the superior vena cava (SVC) is an uncommon, but potentially life-threatening condition due to likely development of edema in the head and neck and potential respiratory compromise. Less than half of those affected by SVC syndrome survive more than a year. Obstruction can be from neoplasms or secondary to benign disease. Treatment for most cases of symptomatic SVC syndrome involves placement of a stent to relieve the stenosis. Serious complications such as stent migration, pulmonary embolism, and cardiac tamponade can occur in 5% to 10% of cases, and inadequate imaging of the SVC–atrial junction by fluoroscopy contributes to these problems. The overlapping contrast in the atrium makes it difficult to precisely place the distal end of the stent, potentially allowing for embolization of the stent to occur. We present a case series of 3 patients wherein transesophageal echocardiography was used for guidance of stent placement in the SVC and significantly aided in placement.
机译：由于可能在头部和颈部和潜在的呼吸损害的可能性，妨碍了高级腔静脉（SVC）是一种罕见的，但潜在的危及生命的病情，并且潜在的呼吸妥协。不到一半受SVC综合征影响的一半以上，以一年多地生存。梗阻可以是来自肿瘤或继发于良性疾病。大多数症状SVC综合征的治疗涉及放置支架以缓解狭窄。支架迁移，肺栓塞和心脏棉纸等严重并发症可以在5％至10％的情况下发生，并且通过荧光检查的SVC-心房结的成像不足有助于这些问题。庭的重叠对比使得难以精确地放置支架的远端，可能允许栓塞支架。我们提出了3例患者的案例系列，其中经过医疗超声心动图用于SVC中的支架放置的指导，并在放置方面显着辅助。

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