Terapia endovascular en el sindrome de vena cava superior: caso clínico

• Autores: Camilo Boza, Renato Mertens M., Francisco Valdés E., Albrecht Krämer SCH., Leopoldo Mariné M., Jeanette Vergara G
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 129, Nº. 4, 2001, págs. 421-426
• Idioma: español
• Títulos paralelos:
  • Endovascular treatment of superior vena cava syndrome: Report of one case
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• Resumen

  • The treatment of superior vena cava syndrome is usually oriented to the underlying cause, that can be too slow in emergency cases. We report a 49 years old woman with a multiple myeloma that was admitted due to a superior vena cava syndrome caused by a central venous catheter used for chemotherapy for 20 weeks. She was successfully treated with thrombolysis, angioplasty and stent placement. The patient died 7 months later due to the underlying disease. Long term catheters are the responsible for 20 to 30% of superior vena cava syndromes. Endovascular treatment of the syndrome is successful in 60 to 100% of cases with a symptomatic relapse in 4 to 45% of patients. (Rev Méd Chile 2001; 129: 421-6)