| Anatomic bifurcated reconstruction of chronic bilateral innominate-superior vena cava occlusion using the y-stenting technique. | |
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MedLine Citation:
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PMID: 22304866 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This article presents the case of a 42-year-old man who presented with superior vena cava (SVC) syndrome due to fibrosing mediastinitis with multiple failed attempts at recanalization. We initially treated him with unilateral sharp needle recanalization of the right innominate vein into the SVC stump followed by stenting. Although his symptoms improved immediately, they did not completely resolve. Six months later, he returned with worsening symptoms, and venography revealed in-stent restenosis. The patient requested simultaneous treatment on the left side. The right stent was dilated, and a 3-cm-long occlusion of the left innominate vein was recanalized, again using sharp needle technique, homing into the struts of the right-sided stent. Following fenestration of the stent, a second stent was deployed from the left side into the SVC, and the two Y limbs were sequentially dilated to allow a true bifurcation anatomy (figure). The patient had complete resolution of his symptoms and continues to do well 6 months later. |
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Authors:
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Parth Amin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 26 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 276.e5-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Surgery, University of Iowa, Iowa City, IA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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