Para-Axial Central Venous Stent Placement in Patients with Malignant Central Venous Obstruction with a Venous Port

J Vasc Interv Radiol. 2018 Nov;29(11):1567-1570. doi: 10.1016/j.jvir.2018.06.022. Epub 2018 Oct 5.

Abstract

The authors performed a para-axial central venous stent (p-CVS) placement in 38 patients and implanted the stent without having to remove the functioning port. No difficulties were experienced in catheter function with p-CVS. In-stent stenosis was seen in 6 of 24 patients in the p-CVS group and in 6 of 18 patients in the intrastent venous stent placement group (P = .333). No complications occurred in any patient with p-CVS when the venous port was removed. Thus, p-CVS can be an alternative way to insert a CVS in patients who already have a functioning venous port.

MeSH terms

  • Aged
  • Angioplasty, Balloon / adverse effects
  • Angioplasty, Balloon / instrumentation*
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / instrumentation*
  • Catheters, Indwelling*
  • Central Venous Catheters*
  • Computed Tomography Angiography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neoplasms / diagnostic imaging
  • Phlebography / methods
  • Prosthesis Design
  • Retrospective Studies
  • Risk Factors
  • Stents*
  • Treatment Outcome
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / etiology
  • Vascular Diseases / therapy*