用内血管支架治疗恶性上静脉综合征的患者的结局
S Guerrero-Macías1, J Beltrán2, R Buitrago3
1Surgical Oncology Fellow, Instituto Nacional de Cancerología, Bogotá 111511, Colombia.
Surgery open science
|September 25, 2023
概括
恶性上静脉卡瓦综合征 (SVCS) 的内血管治疗非常成功. 早期,成功的手术改善了结果,肺癌和特定的支架安置与更糟糕的整体存活率 (OS) 有关.
科学领域:
- 干预性瘤学干预性瘤学
- 血管外科 血管外科
- 医学瘤学 医学瘤学
背景情况:
- 恶性上腔静脉综合征 (SVCS) 呈现出由于上腔静脉瘤阻塞的症状.
- 血管内管理为SVCS患者快速缓解症状提供了安全有效的选择.
- 关于影响恶性SVCS内血管手术结果的因素的数据有限.
研究的目的:
- 分析与正在接受恶性SVCS内血管治疗的患者的结局相关的临床和技术因素.
- 为了确定恶性SVCS的内血管干预后整体生存 (OS) 的预测因素.
主要方法:
- 在2016年5月至2021年5月期间,对54名为恶性SVCS治疗的患者进行了回顾性分析研究.
- 评估临床变量和内血管手术的技术方面.
- 统计分析以确定变量与患者结果之间的关联.
主要成果:
- 内血管手术成功率为94.4%,10个月后的生存率为25%.
- 更糟糕的生存状况与乳腺或肺癌,不成功的手术和延迟干预有关.
- 多变量分析确定了肺癌和远程支架放置在左侧内或左侧无名静脉中,作为更糟糕的OS的独立预测因素.
结论:
- 血管内管理显示,恶性SVCS的成功率很高.
- 早期和成功的手术与更好的患者结果有关.
- 这种干预应纳入多模式治疗SVCS,无论癌症类型或临床状态.
更多相关视频
相关概念视频
Esophageal Varices-II: Clinical Features and Management
86
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
86
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Varicose Veins II: Diagnostic Studies and Interprofessional Care
14
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
14
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8


