Zusammenfassung
In den westlichen Industrienationen treten die tumorinduzierten Venenstenosen in etwa 75-85% infolge eines zentralen Bronchialkarzinoms im Bereich der V. cava superior (VCS) mit Ausbildung einer oberen Einflussstauung auf (Abeloff et al. 1988; Oudkerk et al. 1993). Da es meist erst in einem fortgeschrittenen Stadium der Tumorerkrankung (überwiegend T4-Tumoren bzw. N3-Stadien) zu einer Einengung der Vene kommt, sind diese Patienten meist in einem schlechten Allgemeinzustand, sodass die Bedeutung der palliativen gegenüber der kurativen Therapie überwiegt (Elson et al. 1991; Dempke 1999).
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Literatur
Abeloff MD, Ettinger DS (1988) Diagnosis and Management of Medical and Surgical Problems in the Patient with Lung Cancer. In: Bitran JC, Golomb HM (eds) Lung Cancer: A Comprehensive Treatise. Grune & Stratton, Orlando/FL
Ahmann F (1984) A resessment of the clinical implications of the superior vena caval syndrome. J din oncol 2:961–969
Baker GL, Barnes HJ (1992) Superior vena cava syndrome: etiology, diagnosis and treatment. Am J Crit Care 1:54–64
Brant J, C Peebles, P Kalra, A Odurny (2001) Hematopericardium after superior vena cava stenting for malignant SVC Obstruction. Cardiovasc Intervent Radiol 24:353–355
Chakravarthy A, Johnson D, Choy H (1999) The role of radiation, with or without chemotherapy, in the management of NSCLC. Oncology 13:93–100
Chan RH, Dar AR (1997) Superior vena cava obstruction in small-cell lung cancer. Int J Radiat Oncol Biol Phys 38:513–520
Davenport D, Ferree C, Blake D, Raben M (1978) Radiation therapy in the treatment of superior vena caval obstruction. Cancer (Philad.) 42:2600–2603
Dempke W (1999) Management der Oberen Eintlußstauung. Med Klin 15:681–684
Dotter CT (1969) Transluminally-placed coil-spring endarterial tube grafts: long term patency in canine poplitcal artery. Invest Radiol 4:329–332
Doty PB (1982) Bypass of the superior vena cava: six years experience with spiral vein graft for obstruction of superior vena cava due to benigne or malignant disease. J Thorac Cardiovasc Surg 83:326–338
Elson JD, GJ Becker, MH Wholey, KO Ehrman (1991) Vena caval and central venous stenoses: Management with Palmaz balloon-expandable intraluminal stents. J Vasc Intervent Radiol 2:215–223
Eng J, Sabanathan S (1993) Management of superior vena cava obstruction with self expanding intraluminal stents. Scand J Thorac Cardiovasc Surg 27:53–55
Furui S, Sawanda S, Irie T et al. (1990) Hepatic inferior vena cava obstruction: Treatment of two types with Gianturco expandable metallic stent. Radiology 176:665–670
Furui S, Sawanda S, Kuramoto K et al. (1995) Gianturco Stent Placement in Malignant Caval Obstruction: Analysis of Factors for Predicting the Outcome. Radiology 195:147–152
Gross CM, Kramer J (1997) Stent implantation in patients with superior vena cava syndrome. AJR 169:429–32
Herse B, Hannekum A, Hügel W, Dalichau H (1986) Der Vena cava superior-Verschluss. Darstellung der chirurgischen Therapiemöglichkeiten. Chirurg 57:565–572
Irving JD, Dondelinger RF, Reidy JF et al. (1992) Gianturco self-expanding stents: clinical experience in the v. cava and large veins. Cardiovasc Intervent Radiol 15:328–333
Ishiguchi T, Fukatsu H, Itoh S, Shimamoto K, Sakuma S (1992) Budd-Chiari Syndrom with long segmental inferior vena cava obstruction: treatment with thrombolysis, angioplasty and intravascular stents. J Vasc Intervent Radiol 3:421–425
Kretschmer S, Schneider W (1992) Obere Eintlussstauung als onkologischer Notfall. Dtsch med Wschr 117:1650–1655
Lebeau B, Chastang C, Hermant A (1990) Metastases cerebromeningees des cancers bronchopulmonaires a petites cellules. Cahiers Cancer 2:133–139
Mathias K, Willaschek J, Kempkes U (1993) Interventionelle Radiologie beim Vena cava superior-Syndrom. Radiologia diagnostica 34:332–343
Mathias K (1996) Stentimplantation bei zentralen venösen Obstruktionen. In: Günther RW, Thelen M (Hrsg) Interventionelle Radiologies. Thieme, Stuttgart 2. Autl., S 185–189
Nicholson AA, Ettles DF, Arnold A, Greenstone M, Dyet JF (1997) Treatment of superior vena cava obstruction: metal stents or radiation therapy. J Vasc Interv Radiol 8:781–788
Nieto AF, DB Doty (1986) Superior vena caval obstruction. Clinical syndrome, etiology and treatment. Curr Probl Cancer 10:442–484
Oudkerk M, Heystraten F, Stoter G (1993) Stenting in malignant vena caval obstruction. Cancer 71:71142-146
Preiß J (1994/95) Zytostatische Therapie solider Tumoren. In: Weihrauch TR (Hrsg) Internistische Therapie. Urban & Schwarzenberger, München Wien Baltimore, 10. Autl.
Smith SL, Manhire AR, Clark DM (2001) Delayed spontaneous superior vena cava perforation associated with SVC Wallstent. Cardiovasc Intervent Radiol 24:286–287
Stanford W, Doty D (1986) The role ofVenography and Surgery in the Management of Patients with Superior Vena Cava Obstruction. Ann Thorac Surg 41:158–163
Tanigawa N, Sawada S, Mishima Ket al. (1998) Clinical outcome of stenting in superior vena cava syndrome. Comparism with conventional treatment. Acta Radiol 39:669–674
Thony F, Moro D, Witmeyer P, Angiolini S, Brambilla C, Coulomb M, Ferretti G (1999) Endovascular treatment of superior vena cava obstruction in patients with malignancies. Euro Radiol 9:965–71
Urban T, Lebeau B, Chastang C, Lederc P, Botto MJ, Sauvaget J (1993) Superior Vena Cava Syndrome in Small-cell lung Cancer. Arch Intern Med 153:384–387
Watkinson AF, Hansell DM (1993) Expandable Wallstent for the treatment of obstruction of the superior vena cava. Thorax 48:915–920
Wilhelm K, Schild H, Bruch E et al. (1995) Stentimplantation als palliative Therapiemaßnahme bei tumorinduzierten Stenosen der großen Körpervenen. Fortschr Röntgenstr 162:514–520
Wilhelm K, Schild H, Textor J, Mildenberger P, Strunk H, Terjung B, Lorenz J (1995) Stent-Implantation zur palliativen onkologischen Therapie der oberen Eintlussstauung bei Bronchialkarzinom. Dtsch med Wochenschr 120(42):1519–1525
Yedlicka JW, Schultz K, Moncada R, Flisak M (1989) CT Findings in Superior Vena Cava Obstruction. Seminars in Roentgenology 24:84–90
Yellin A, Rosen A, Reichert N, Lieberman Y (1990) Superior vena cava syndrome. The myth-The facts. Am Rev Respir Dis 141:1114–1118
Yim CD, Sane SS, Bjarnason H (2000) Superior vena cava stenting. Radiol Clin North Am 38:409–414
Smith SL, AR Manhire, DM Clark (2001) Delayed spontaneous superior vena cava perforation associated with SVC Wallstent. Cardiovasc Intervent Radiol 24:286–287
Zollikofer CL, Largiader I, Bruehlmann WF (1988) Endovascular stenting of veins and grafts, Preliminary clinical experience. Radiology 167:702–712
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Wilhelm, K. (2003). V.-cava-Stent. In: Boese-Landgraf, J., Gallkowski, U., Layer, G., Schalhorn, A. (eds) Regionale Tumortherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55839-9_25
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DOI: https://doi.org/10.1007/978-3-642-55839-9_25
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