REVIEW   

Il Giornale Italiano di Radiologia Medica 2018 Luglio-Agosto;5(4):591-600

DOI: 10.23736/S2283-8376.18.00080-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Treatment of venous stenosis in oncologic patients

Enrico M. FUMAROLA ¹, Anna M. IERARDI ² ✉, Maria L. JANNONE MOLARONI ¹, Mario PETRILLO ², Salvatore A. ANGILERI ², Gianpaolo CARRAFIELLO ³

¹ Dipartimento di Radiologia Diagnostica e Interventistica, Scuola di Specializzazione in Radiodiagnostica, Ospedale San Paolo, ASST Santi Paolo e Carlo, Università degli Studi di Milano, Milano, Italia; ² Dipartimento di Radiologia Diagnostica e Interventistica, Ospedale San Paolo, ASST Santi Paolo e Carlo, Milano, Italia; ³ Dipartimento di Radiologia Diagnostica e Interventistica, Ospedale San Paolo, ASST Santi Paolo e Carlo, Università degli Studi di Milano, Milano, Italia

Symptomatic obstruction related to malignant involvement of large veins may occur in central veins both in the thoracic and pelvic regions, and in the abdominal region of the body. Both cases represent a therapeutic challenge, and endovascular revascularization, consisting of angioplasty and stent placement, is safe and effective. Superior vena cava stenting has become widespread in the management of occlusive venous disease. The percutaneous placement of large expandable metal stents allows rapid restoration of normal blood flow in the majority of patients, thus improving symptoms. Published data on the diagnosis and treatment of symptomatic cancer-related iliocaval obstructions are limited and mainly consist of case reports and small case series. The present review reports the current state of endovascular treatment for both superior vena cava occlusion and iliac compression syndrome in cancer patients.

KEY WORDS: Radiology, interventional - Thrombosis - Palliative care - Superior vena cava syndrome