Endovascular stent provides more effective early relief of SVC obstruction compared to balloon angioplasty. Aldoss, O, Arain, N, Menk, J, Kochilas, L, & Gruenstein, D Catheter Cardiovasc Interv, 83(7):E272–E276, June, 2014. ![Endovascular stent provides more effective early relief of SVC obstruction compared to balloon angioplasty. [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex OBJECTIVE: To determine whether superior vena cava (SVC) stent implantation is superior to balloon angioplasty for relieving SVC stenosis. BACKGROUND: SVC stent and balloon dilation have been used as treatment for SVC stenosis. Although safe and effective, outcome data comparing the two methods are limited. METHODS: A Pediatric Cardiac Care Consortium review identified SVC stenosis. Patients who required SVC intervention were divided into two subgroups-balloon dilation (Group A) and stent implantation (Group B). Logistic regression and the log-rank test were used to test the need for re-intervention within 6 months after the initial procedure. RESULTS: SVC intervention was performed on 210/637 patients with SVC stenosis (33%). There were 108/210 (51%) patients with balloon dilation (Group A) and 102/210 (49%) with stent implantation (Group B). Re-intervention within 6 months of the initial intervention was more common in Group A compared to Group B [Group A = 31/40 (77.5%); Group B = 5/22 (22.7%)]. The odds-ratio for re-intervention within 6 months of the initial procedure for balloon vs. stent, is 7.3 [95% CI: (2.91, 22.3), P \textless 0.0001]. In addition, during the first 6 months after an intervention for SVC stenosis the proportion of patients with stent implantation that remained free of re-intervention was significantly higher than after balloon angioplasty (log-rank test, P \textless 0.0001). Neither age nor weight was significantly associated with the need for re-intervention. CONCLUSIONS: SVC stent implantation is more effective than angioplasty in relief of SVC obstruction. Weight and age are not risk factors for early re-intervention.
@article{aldoss_endovascular_2014,
title = {Endovascular stent provides more effective early relief of {SVC} obstruction compared to balloon angioplasty.},
volume = {83},
url = {https://www.ncbi.nlm.nih.gov/pubmed/22431347},
doi = {10.1002/ccd.24413},
abstract = {OBJECTIVE: To determine whether superior vena cava (SVC) stent implantation is superior to balloon angioplasty for relieving SVC stenosis. BACKGROUND: SVC stent and balloon dilation have been used as treatment for SVC stenosis. Although safe and effective, outcome data comparing the two methods are limited. METHODS: A Pediatric Cardiac Care Consortium review identified SVC stenosis. Patients who required SVC intervention were divided into two subgroups-balloon dilation (Group A) and stent implantation (Group B). Logistic regression and the log-rank test were used to test the need for re-intervention within 6 months after the initial procedure. RESULTS: SVC intervention was performed on 210/637 patients with SVC stenosis (33\%). There were 108/210 (51\%) patients with balloon dilation (Group A) and 102/210 (49\%) with stent implantation (Group B). Re-intervention within 6 months of the initial intervention was more common in Group A compared to Group B [Group A = 31/40 (77.5\%); Group B = 5/22 (22.7\%)]. The odds-ratio for re-intervention within 6 months of the initial procedure for balloon vs. stent, is 7.3 [95\% CI: (2.91, 22.3), P {\textless} 0.0001]. In addition, during the first 6 months after an intervention for SVC stenosis the proportion of patients with stent implantation that remained free of re-intervention was significantly higher than after balloon angioplasty (log-rank test, P {\textless} 0.0001). Neither age nor weight was significantly associated with the need for re-intervention. CONCLUSIONS: SVC stent implantation is more effective than angioplasty in relief of SVC obstruction. Weight and age are not risk factors for early re-intervention.},
language = {eng},
number = {7},
journal = {Catheter Cardiovasc Interv},
author = {Aldoss, O and Arain, N and Menk, J and Kochilas, L and Gruenstein, D},
month = jun,
year = {2014},
keywords = {Young Adult},
pages = {E272--E276}
}
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BACKGROUND: SVC stent and balloon dilation have been used as treatment for SVC stenosis. Although safe and effective, outcome data comparing the two methods are limited. METHODS: A Pediatric Cardiac Care Consortium review identified SVC stenosis. Patients who required SVC intervention were divided into two subgroups-balloon dilation (Group A) and stent implantation (Group B). Logistic regression and the log-rank test were used to test the need for re-intervention within 6 months after the initial procedure. RESULTS: SVC intervention was performed on 210/637 patients with SVC stenosis (33%). There were 108/210 (51%) patients with balloon dilation (Group A) and 102/210 (49%) with stent implantation (Group B). Re-intervention within 6 months of the initial intervention was more common in Group A compared to Group B [Group A = 31/40 (77.5%); Group B = 5/22 (22.7%)]. The odds-ratio for re-intervention within 6 months of the initial procedure for balloon vs. stent, is 7.3 [95% CI: (2.91, 22.3), P \\textless 0.0001]. In addition, during the first 6 months after an intervention for SVC stenosis the proportion of patients with stent implantation that remained free of re-intervention was significantly higher than after balloon angioplasty (log-rank test, P \\textless 0.0001). Neither age nor weight was significantly associated with the need for re-intervention. CONCLUSIONS: SVC stent implantation is more effective than angioplasty in relief of SVC obstruction. Weight and age are not risk factors for early re-intervention.","language":"eng","number":"7","journal":"Catheter Cardiovasc Interv","author":[{"propositions":[],"lastnames":["Aldoss"],"firstnames":["O"],"suffixes":[]},{"propositions":[],"lastnames":["Arain"],"firstnames":["N"],"suffixes":[]},{"propositions":[],"lastnames":["Menk"],"firstnames":["J"],"suffixes":[]},{"propositions":[],"lastnames":["Kochilas"],"firstnames":["L"],"suffixes":[]},{"propositions":[],"lastnames":["Gruenstein"],"firstnames":["D"],"suffixes":[]}],"month":"June","year":"2014","keywords":"Young Adult","pages":"E272–E276","bibtex":"@article{aldoss_endovascular_2014,\n\ttitle = {Endovascular stent provides more effective early relief of {SVC} obstruction compared to balloon angioplasty.},\n\tvolume = {83},\n\turl = {https://www.ncbi.nlm.nih.gov/pubmed/22431347},\n\tdoi = {10.1002/ccd.24413},\n\tabstract = {OBJECTIVE: To determine whether superior vena cava (SVC) stent implantation is superior to balloon angioplasty for relieving SVC stenosis. BACKGROUND: SVC stent and balloon dilation have been used as treatment for SVC stenosis. Although safe and effective, outcome data comparing the two methods are limited. METHODS: A Pediatric Cardiac Care Consortium review identified SVC stenosis. Patients who required SVC intervention were divided into two subgroups-balloon dilation (Group A) and stent implantation (Group B). Logistic regression and the log-rank test were used to test the need for re-intervention within 6 months after the initial procedure. RESULTS: SVC intervention was performed on 210/637 patients with SVC stenosis (33\\%). There were 108/210 (51\\%) patients with balloon dilation (Group A) and 102/210 (49\\%) with stent implantation (Group B). Re-intervention within 6 months of the initial intervention was more common in Group A compared to Group B [Group A = 31/40 (77.5\\%); Group B = 5/22 (22.7\\%)]. The odds-ratio for re-intervention within 6 months of the initial procedure for balloon vs. stent, is 7.3 [95\\% CI: (2.91, 22.3), P {\\textless} 0.0001]. In addition, during the first 6 months after an intervention for SVC stenosis the proportion of patients with stent implantation that remained free of re-intervention was significantly higher than after balloon angioplasty (log-rank test, P {\\textless} 0.0001). Neither age nor weight was significantly associated with the need for re-intervention. CONCLUSIONS: SVC stent implantation is more effective than angioplasty in relief of SVC obstruction. Weight and age are not risk factors for early re-intervention.},\n\tlanguage = {eng},\n\tnumber = {7},\n\tjournal = {Catheter Cardiovasc Interv},\n\tauthor = {Aldoss, O and Arain, N and Menk, J and Kochilas, L and Gruenstein, D},\n\tmonth = jun,\n\tyear = {2014},\n\tkeywords = {Young Adult},\n\tpages = {E272--E276}\n}\n\n","author_short":["Aldoss, O","Arain, N","Menk, J","Kochilas, L","Gruenstein, D"],"key":"aldoss_endovascular_2014","id":"aldoss_endovascular_2014","bibbaseid":"aldoss-arain-menk-kochilas-gruenstein-endovascularstentprovidesmoreeffectiveearlyreliefofsvcobstructioncomparedtoballoonangioplasty-2014","role":"author","urls":{"Paper":"https://www.ncbi.nlm.nih.gov/pubmed/22431347"},"keyword":["Young Adult"],"downloads":0},"search_terms":["endovascular","stent","provides","more","effective","early","relief","svc","obstruction","compared","balloon","angioplasty","aldoss","arain","menk","kochilas","gruenstein"],"keywords":["young adult"],"authorIDs":[],"dataSources":["KyTuPiocfts86K47z"]}