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Application of Kissing Technique for the Treatment of Superior Vena Cava Syndrome

  • Bin Xu
    Affiliations
    Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
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  • Yi Wang
    Affiliations
    Department of Radiotherapy and Chemotherapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
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  • Dehai Lang
    Affiliations
    Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
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  • Di Wang
    Affiliations
    Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
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  • Songjie Hu
    Affiliations
    Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
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  • Qiyang Xu
    Correspondence
    Correspondence to: Qiyang Xu, Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences; Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, No.41 Northwest Street, Ningbo, Zhejiang, China, 315010
    Affiliations
    Department of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China

    Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, Zhejiang Province, China
    Search for articles by this author
Published:January 29, 2022DOI:https://doi.org/10.1016/j.avsg.2022.01.010

      Background

      Superior vena cava syndrome is a series of symptoms caused by compression of the superior vena cava and its main branches. Endovascular therapy is now widely accepted because it offers rapid, safe and effective relief of clinical symptoms. Few reports have described the application of kissing technique for the treatment of superior vena cava syndrome. In this report, we review a series of cases in which superior vena cava syndrome was treated by kissing technique and we share our experience.

      Methods

      Our institute treated 22 patients with SVCS by endovascular intervention from November 2016 to June 2021; among them, the kissing technique was used in 10 cases and achieved satisfactory results. This is a retrospective evaluation and analysis of 10 patients with superior vena cava syndrome who were treated by endovascular intervention using the kissing technique from May 2018 to April 2021 in Hwa Mei Hospital, University of Chinese Academy of Sciences. Based on literatures, we summarize the diagnosis, treatment, and surgical experience.

      Results

      All patients underwent the implantation of the kissing stents, and the technical success rate was 100%. The symptoms and signs of intravenous obstruction in all patients were alleviated or disappeared within 1–3 days after the procedure. During the follow-up period, 9 patients remained free from any clinical signs or symptoms, and 1 patient died 1 month after the procedure due to the progression of malignant tumors.

      Conclusions

      As a palliative intervention, the kissing technique for the treatment of superior vena cava syndrome caused by malignant tumors is safe, rapid, and effective. Successful endovascular therapy can quickly relieve symptoms, improve the patient's quality of life, and provide more opportunities for subsequent antitumor treatment.

      Abbreviations:

      SVCS (superior vena cava syndrome), CTA (computed tomography angiography)
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