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Congress: ECR25
Poster Number: C-14457
Type: Poster: EPOS Radiologist (scientific)
Authorblock: O. L. Chan, C. H. Ho, F. C, P. L. Cheung, Y. S. Lee, K. H. Fung, W. T. V. Chan, C. W. J. Siu; Hong Kong/HK
Disclosures:
Oi Ling Chan: Nothing to disclose
Cheuk Him Ho: Nothing to disclose
F C: Nothing to disclose
Pui Lam Cheung: Nothing to disclose
Yat Sing Lee: Nothing to disclose
King Him Fung: Nothing to disclose
Wai Tat Victor Chan: Nothing to disclose
Chi Wai Jimmy Siu: Nothing to disclose
Keywords: Interventional vascular, Catheter venography, CT, Stents, Cancer
Results

Total 19 patients underwent 19 SVC stenting procedures during the study period. All cases were caused by malignant SVCO. 16 patients (84%) had lung cancer.

Technical success and clinical success were achieved in all cases (100%). Post-stenting balloon angioplasty was performed in 11 cases (58%). Figure 1 illustrated a technical success case of SVC stenting.

Intraprocedural complication was detected in 1 case (5%). It was a case of intraprocedural stent migration into the right atrium with close cell stent, managed with additional bridging SVC-IVC stenting (Figure 2), classified as grade 1 complication.

Follow up period ranged from 5 to 339 days (median 38 days). 3 patients (15.8%) had clinical recurrence of symptoms, in which 2 patients had CT performed showing in-stent occlusion (Figure 3).

Regarding stent design, open cell stent (Abre, Medtronic) was used in 8 procedures (42%) while close cell stent (Wallstent, Boston; VICI, Boston; Venovo, BD) was used in 11 procedures (58%). There was no difference in terms of technical success (100% vs 100%), clinical success (100% vs 100%), complication rate (0% vs 9%; p=0.58) and recurrence rate (13% vs 18%; p=0.62) between the open cell and close cell stent groups.

GALLERY