Comparison of operative reconstruction and percutaneous balloon dilatation for central venous obstruction

Wisselink, Willem, Money, Samuel R., Becker, Mark O., Rice, Karen L., Ramee, Stephen R., White, Christopher J., Kazmier, Francis J. and Hollier, Larry H. (1993). Comparison of operative reconstruction and percutaneous balloon dilatation for central venous obstruction. In: Papers presented at the 21st Annual Meeting of the Society for Clinical Vascular Surgery. 21st Annual Meeting of the Society for Clinical Vascular Surgery, Palm Desert, CA, United States, (200-205). 24-28 March 1993. doi:10.1016/S0002-9610(05)81056-6


Author Wisselink, Willem
Money, Samuel R.
Becker, Mark O.
Rice, Karen L.
Ramee, Stephen R.
White, Christopher J.
Kazmier, Francis J.
Hollier, Larry H.
Title of paper Comparison of operative reconstruction and percutaneous balloon dilatation for central venous obstruction
Conference name 21st Annual Meeting of the Society for Clinical Vascular Surgery
Conference location Palm Desert, CA, United States
Conference dates 24-28 March 1993
Proceedings title Papers presented at the 21st Annual Meeting of the Society for Clinical Vascular Surgery   Check publisher's open access policy
Journal name American Journal of Surgery   Check publisher's open access policy
Place of Publication Philadelphia, PA, United States
Publisher Elsevier
Publication Year 1993
Sub-type Fully published paper
DOI 10.1016/S0002-9610(05)81056-6
ISSN 0002-9610
1879-1883
Volume 166
Issue 2
Start page 200
End page 205
Total pages 6
Language eng
Abstract/Summary To evaluate the efficacy of venous reconstruction versus percutaneous transluminal angioplasty for the treatment of obstruction of the superior vena cava and its major tributaries, we retrospectively reviewed the clinical course of 27 patients, of whom 13 underwent operative reconstruction and 15 had angioplasty (1 had both). Three patients had obstruction of the superior vena cava, 8 had occlusion of the innominate veins, and 16 had obstruction of the subclavian or axillary veins. In both treatment groups, mean age, indications, etiology, and location of the lesion were comparable. No major surgical complications occurred; one patient who underwent angioplasty experienced stent migration to the pulmonary artery without sequelae. Primary symptomatic relief at 1 year was achieved in 88% in the surgical group versus 36% in the angioplasty group (p<0.05 by Fisher's exact test) and at 2 years in 71% versus 0%, respectively (p<0.01). One- and 2-year success rates with repeated angioplasty, however, were 86% and 66% (p>0.9), respectively. We conclude that the long-term success rate of operative reconstruction exceeds that of single percutaneous transluminal angioplasty. However, with repeated angioplasty, success rates approach those of operative reconstruction.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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