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Insights Into Endovascular Management of Superior Vena Cava Obstructions

Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity...

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Autores principales: Ponti, Alexandre, Saltiel, Sarah, Rotzinger, David C., Qanadli, Salah D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652054/
https://www.ncbi.nlm.nih.gov/pubmed/34901225
http://dx.doi.org/10.3389/fcvm.2021.765798
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author Ponti, Alexandre
Saltiel, Sarah
Rotzinger, David C.
Qanadli, Salah D.
author_facet Ponti, Alexandre
Saltiel, Sarah
Rotzinger, David C.
Qanadli, Salah D.
author_sort Ponti, Alexandre
collection PubMed
description Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity of clinical symptoms may vary considerably, up to lethal. Etiologies have changed dramatically in recent years, mainly due to the increasing use of intravascular devices. However, guidelines for treatment are lacking, and various options are available. Endovascular therapies developed considerably in recent years, may offer a rapid improvement in symptoms and proved to be safe. However, knowledge and selection of appropriate techniques are essential to venous angioplasty, involving specific tools to guarantee satisfying outcomes. This review aims to discuss the particular venous anatomy of the upper body, the physiopathology of superior vena cava obstruction, and specificities of endovascular treatment compared with other management options.
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spelling pubmed-86520542021-12-09 Insights Into Endovascular Management of Superior Vena Cava Obstructions Ponti, Alexandre Saltiel, Sarah Rotzinger, David C. Qanadli, Salah D. Front Cardiovasc Med Cardiovascular Medicine Superior vena cava obstruction results from any limitation of blood flow through the superior vena cava. Circulation to the heart may persist through various collateral vessels whose development depends on the level of obstruction. Depending on the level and degree of occlusive disease, the severity of clinical symptoms may vary considerably, up to lethal. Etiologies have changed dramatically in recent years, mainly due to the increasing use of intravascular devices. However, guidelines for treatment are lacking, and various options are available. Endovascular therapies developed considerably in recent years, may offer a rapid improvement in symptoms and proved to be safe. However, knowledge and selection of appropriate techniques are essential to venous angioplasty, involving specific tools to guarantee satisfying outcomes. This review aims to discuss the particular venous anatomy of the upper body, the physiopathology of superior vena cava obstruction, and specificities of endovascular treatment compared with other management options. Frontiers Media S.A. 2021-11-24 /pmc/articles/PMC8652054/ /pubmed/34901225 http://dx.doi.org/10.3389/fcvm.2021.765798 Text en Copyright © 2021 Ponti, Saltiel, Rotzinger and Qanadli. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Ponti, Alexandre
Saltiel, Sarah
Rotzinger, David C.
Qanadli, Salah D.
Insights Into Endovascular Management of Superior Vena Cava Obstructions
title Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_full Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_fullStr Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_full_unstemmed Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_short Insights Into Endovascular Management of Superior Vena Cava Obstructions
title_sort insights into endovascular management of superior vena cava obstructions
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652054/
https://www.ncbi.nlm.nih.gov/pubmed/34901225
http://dx.doi.org/10.3389/fcvm.2021.765798
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