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[PMID]:29390439
[Au] Autor:Chen PF; Tang L; Liu ZZ; Hu X
[Ad] Endereço:Department of Cardiology, The Second Xiangya Hospital of Central South University, Chang Sha, China.
[Ti] Título:Superior vena cava syndrome secondary to recurrent coronary artery fistula: A case report and literature review.
[So] Source:Medicine (Baltimore);96(51):e9111, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Coronary artery fistula (CAF) is characterized by an abnormal communication of a coronary artery with a cardiac chamber or a great vessel bypassing the capillary bed. Surgical closure of large or symptomatic CAF is the gold standard treatment. However the previously closed CAF still has the possibility to reopen. Superior vena cava syndrome (SVCS) is defined as a condition that occurs when the obstruction of the superior vena cava interrupts blood flow from the head, upper extremities, and thorax to the right atrium and can present a life-threatening situation. In this report, we described a case of SVCS, which was secondary to the compression by a huge aneurysm formed in a recurrent CAF, as a long-term complication associated with surgical treatment of CAF. PATIENT CONCERNS: A 47-year-old woman presented with chief complaint of progressive exertional dyspnea for one month. DIAGNOSES: Superior vena cava syndrome and recurrent coronary artery fistula. INTERVENTIONS: Reoperation for ligation of the fistulous and excision of the aneurysm were performed. OUTCOMES: The patient made an uneventful recovery and her postoperative course through 1-year follow-up was uneventful. LESSONS: First, SVCS is a rare but clinically important postoperative complication of surgical ligation of CAF. Second, surgical ligation of the fistula alone is unlikely to prevent the ectatic course. Therefore, long-term follow-up is mandatory for patients with CAF undergoing surgical closure.
[Mh] Termos MeSH primário: Fístula Artério-Arterial/diagnóstico por imagem
Vasos Coronários/diagnóstico por imagem
Síndrome da Veia Cava Superior/etiologia
[Mh] Termos MeSH secundário: Aneurisma Coronário/diagnóstico por imagem
Feminino
Seres Humanos
Meia-Idade
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009111


  2 / 2111 MEDLINE  
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[PMID]:29390464
[Au] Autor:Zhang X; Li X; Meng M; Cao J; Song X; Liu K; Fang S
[Ad] Endereço:Department of Neurology, Neuroscience Centre, the First Teaching Hospital of Jilin University, Changchun, China.
[Ti] Título:Vascular spinal cord obstruction associated with superior vena cava syndrome: A case report and literature review.
[So] Source:Medicine (Baltimore);96(51):e9196, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Superior vena cava syndrome (SVCS) is the obstruction of blood flow through the SVC, causing complete or partial blockade of the collateral circulation of returning venous blood. SVCS is frequently presented with facial, neck, trunk, and upper limbs swelling and so on. However, to the best of our knowledge, the obstruction of the venous return in the spinal veins is rarely a manifestation of SVCS. PATIENT CONCERNS: We presented a rare case of a 52-year-old male patient with 2-month history of progressive right upper limb numbness and swelling and 10-day history of extremities malfunctioning. Cervical magnetic resonance imaging (MRI) detected obstruction of the spinal venous return. Lung computed tomography (CT) revealed lesions in the esophagus, which indicated esophageal cancer with mediastinal lymph nodes metastasis and signified SVCS. DIAGNOSES: With the results of laboratory findings, cervical MRI, lung CT findings, and physical examination, the patient was diagnosed with SVCS manifesting as spinal vein obstruction. INTERVENTIONS AND OUTCOMES: The family abandoned further treatment, and the patient passed away 2 months after discharge. LESSONS: The case indicates that SVCS can induce systemic and spinal cord diseases affecting the venous return. Further studies are necessary to reveal the mechanism for SVCS inducing spinal veins obstruction and to explore whether SVCS patients with and without vascular spinal cord obstruction have different prognoses.
[Mh] Termos MeSH primário: Compressão da Medula Espinal/complicações
Compressão da Medula Espinal/diagnóstico por imagem
Síndrome da Veia Cava Superior/complicações
Síndrome da Veia Cava Superior/diagnóstico por imagem
Doenças Vasculares/complicações
[Mh] Termos MeSH secundário: Progressão da Doença
Evolução Fatal
Seres Humanos
Hipestesia/diagnóstico
Hipestesia/etiologia
Angiografia por Ressonância Magnética/métodos
Masculino
Meia-Idade
Doenças Raras
Medição de Risco
Índice de Gravidade de Doença
Compressão da Medula Espinal/fisiopatologia
Síndrome da Veia Cava Superior/fisiopatologia
Tomografia Computadorizada por Raios X/métodos
Extremidade Superior
Doenças Vasculares/diagnóstico por imagem
Doenças Vasculares/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009196


  3 / 2111 MEDLINE  
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[PMID]:28467587
[Au] Autor:Yasar B; Kiliçoglu G
[Ad] Endereço:Istanbul Training and Research Center, Baskent University, Istanbul, Turkey drbyasar@yahoo.com.
[Ti] Título:Behçet's disease-related superior vena cava syndrome and bleeding downhill varices: A rare complication.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):170-172, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Obstruction of the superior vena cava (SVC) due to any cause results in development of venous collaterals in the upper part of the esophagus, known as "downhill" varices. Although rare, bleeding can be life-threatening. Presently described is case of Behçet's diseaserelated SVC occlusion in a patient who presented with gastrointestinal bleeding from upper esophageal varices.
[Mh] Termos MeSH primário: Síndrome de Behçet
Hemorragia Gastrointestinal
Síndrome da Veia Cava Superior
[Mh] Termos MeSH secundário: Adulto
Hematemese
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.92145


  4 / 2111 MEDLINE  
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[PMID]:29017434
[Au] Autor:Sun K; Batra R; Markin NW; Suh M; Pipinos II; Roberts EK; Mactaggart JN; Baxter BT
[Ad] Endereço:1 College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
[Ti] Título:Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review.
[So] Source:Vasc Endovascular Surg;51(8):562-566, 2017 Nov.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Obstruction of the superior vena cava (SVC) is an uncommon, but potentially life-threatening condition due to likely development of edema in the head and neck and potential respiratory compromise. Less than half of those affected by SVC syndrome survive more than a year. Obstruction can be from neoplasms or secondary to benign disease. Treatment for most cases of symptomatic SVC syndrome involves placement of a stent to relieve the stenosis. Serious complications such as stent migration, pulmonary embolism, and cardiac tamponade can occur in 5% to 10% of cases, and inadequate imaging of the SVC-atrial junction by fluoroscopy contributes to these problems. The overlapping contrast in the atrium makes it difficult to precisely place the distal end of the stent, potentially allowing for embolization of the stent to occur. We present a case series of 3 patients wherein transesophageal echocardiography was used for guidance of stent placement in the SVC and significantly aided in placement.
[Mh] Termos MeSH primário: Ecocardiografia Transesofagiana
Procedimentos Endovasculares/instrumentação
Granuloma do Sistema Respiratório/complicações
Stents
Síndrome da Veia Cava Superior/terapia
[Mh] Termos MeSH secundário: Adulto
Ecocardiografia Doppler em Cores
Evolução Fatal
Feminino
Granuloma do Sistema Respiratório/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Flebografia
Síndrome da Veia Cava Superior/diagnóstico por imagem
Síndrome da Veia Cava Superior/etiologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171012
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417723157


  5 / 2111 MEDLINE  
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[PMID]:28763827
[Au] Autor:Abel L; Uhde B; Dembinski R; Schraepler K
[Ti] Título:[Management of a Port Catheter-Related Superior Vena Cava Thrombosis in the Setting of Active Crohn's Disease: A Case Report].
[Ti] Título:Management einer portassoziierten Vena-cava-superior-Thrombose im Rahmen eines Crohn-Schubes..
[So] Source:Dtsch Med Wochenschr;142(15):1155-1157, 2017 Aug.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:A 56 year-old woman was admitted to our hospital for treatment of a severe exacerbation of Crohn's disease. During the stay a port catheter was implanted, safeguarding nutrition. A few days later the patient developed symptoms of a severe superior vena cava (SVC) syndrome with dyspnea, cyanosis, headaches and swelling of face and upper extremities. A CT scan showed port catheter-associated SVC thrombosis with complete occlusion of the SVC. There was a coexistence of a port catheter-associated SVC thrombosis with complete occlusion of the SVC and a severe exacerbation of Crohn's disease with haematochezia. Local prolonged thrombolysis through the port catheter analogous to the regimen used in the 2012 CaVenT Study was started. Subsequently, symptoms of SVC obstruction as well as thrombus extent improved markedly, with only minor increase in gastrointestinal bleeding. Local thrombolysis appears to be a safe and effective therapy for port catheter-associated thrombosis that may be considered in the setting of increased risk of hemorrhage.
[Mh] Termos MeSH primário: Cateterismo Venoso Central/efeitos adversos
Cateteres de Demora/efeitos adversos
Doença de Crohn/complicações
Síndrome da Veia Cava Superior
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
Síndrome da Veia Cava Superior/complicações
Síndrome da Veia Cava Superior/diagnóstico por imagem
Síndrome da Veia Cava Superior/etiologia
Síndrome da Veia Cava Superior/patologia
Tomografia Computadorizada por Raios X
Veia Cava Superior/diagnóstico por imagem
Veia Cava Superior/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-112231


  6 / 2111 MEDLINE  
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[PMID]:28734433
[Au] Autor:Maseda Uriza R; Jurado-Román A; Jimenez Díaz J; Piqueras Flores J; Higuera Sobrino F; Oliva De Anquín E
[Ad] Endereço:Cardiology Department, University General Hospital, Ciudad Real, Spain. Electronic address: maseda12@hotmail.com.
[Ti] Título:Hybrid Approach for the Treatment of Superior Vena Cava Syndrome Induced by Pacemaker.
[So] Source:Ann Thorac Surg;104(2):e131-e132, 2017 Aug.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Pacemaker-induced superior vena cava syndrome (SVCS) is a rare but incapacitating adverse event that can occur years after implantation. Inasmuch as it is a rare disease, there is no consensus about its treatment. The most widely used option is balloon angioplasty and venous stent implantation, with preservation of the lead or previous extraction and subsequent reimplantation after the procedure, which is associated with new episodes of thrombosis. The epicardial implantation reduces the risk of thrombosis. We report a case of pacemaker-induced SVCS for which we used a hybrid approach for epicardial lead implantation and electrode extraction, balloon angioplasty, and stent implantation.
[Mh] Termos MeSH primário: Bloqueio Atrioventricular/terapia
Cateterismo Periférico/métodos
Remoção de Dispositivo/métodos
Marca-Passo Artificial/efeitos adversos
Síndrome da Veia Cava Superior/cirurgia
Toracotomia/métodos
[Mh] Termos MeSH secundário: Idoso
Veia Femoral
Seres Humanos
Masculino
Flebografia
Síndrome da Veia Cava Superior/diagnóstico
Síndrome da Veia Cava Superior/etiologia
Tomografia Computadorizada por Raios X
Ultrassonografia Doppler
Veia Cava Superior/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


  7 / 2111 MEDLINE  
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[PMID]:28633266
[Au] Autor:Liang Y; Kaiser CA; Danter MR
[Ad] Endereço:Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: yafen.liang@vanderbilt.edu.
[Ti] Título:Complete Neurological Recovery After Acute Total Occlusion of the Superior Vena Cava.
[So] Source:Ann Thorac Surg;104(1):e65-e66, 2017 Jul.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Superior vena cava (SVC) syndrome, characterized by swelling of the upper torso, can result from a wide range of causes. The presence and severity of clinical symptoms depends on the degree of stenosis, the location of stenosis, the speed of development of stenosis, and existing collateral flow. Acute complete occlusion of the SVC frequently leads to poor neurologic outcomes such as coma or death. We report a case of a patient who had complete neurologic recovery after 26 minutes of acute total occlusion of the SVC. This report highlights the importance of meticulous management during acute SVC occlusion to improve patient outcome.
[Mh] Termos MeSH primário: Implante de Prótese Vascular/métodos
Isquemia Encefálica/etiologia
Recuperação de Função Fisiológica
Stents
Síndrome da Veia Cava Superior/cirurgia
Pressão Venosa/fisiologia
[Mh] Termos MeSH secundário: Doença Aguda
Isquemia Encefálica/diagnóstico
Isquemia Encefálica/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Síndrome da Veia Cava Superior/complicações
Síndrome da Veia Cava Superior/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


  8 / 2111 MEDLINE  
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[PMID]:28618844
[Au] Autor:Calsina Juscafresa L; Gil Bazo I; Grochowicz L; Páramo Alfaro M; López-Picazo González JM; Moreno Jiménez M; Bilbao Jaureguizar JI
[Ad] Endereço:a Vascular Surgery , Clínica Universidad de Navarra , Pamplona , Spain.
[Ti] Título:Endovascular treatment of malignant superior vena cava syndrome secondary to lung cancer.
[So] Source:Hosp Pract (1995);45(3):70-75, 2017 Aug.
[Is] ISSN:2154-8331
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Superior Vena Cava obstruction results in severe oedema of the upper thorax. Endovascular treatment allows a rapid restoration of the blood flow with a rapid resolution of symptoms. We retrospectively report a single institution's experience in stent placement for malignant Superior Vena Cava Syndrome (SVCS) caused by lung cancer. METHODS: Thirty-three consecutive patients (23 men, 10 women; median age, 57.6 years; range 34-71 years) who underwent endovascular SVCS palliative treatment were enrolled between August 2002 and June 2015. All patients presented SVCS secondary to lung cancer. Signs and symptoms of SVCS were scored. RESULTS: All procedures were successfully completed (100% technical success rate). Twenty-eight patients showed a progressive clinical improvement after endovascular treatment of SVCS (84.8% clinical success rate) within 48 hours, there were five clinical failures which improved progressively with posterior radiotherapy. During follow-up, three patients (9%) suffered intra or post-procedural complications (1 cardiac arrhythmia, 2 stent thrombosis). CONCLUSIONS: Stent placement in malignant SVCS seems to be an effective and rapid treatment for the relief of symptoms and quality of life improvement with a relatively low complications rate with a rapid resolution of symptoms. Therefore, it should be seriously considered as the first option in the SVC obstruction treatment.
[Mh] Termos MeSH primário: Procedimentos Endovasculares/métodos
Neoplasias Pulmonares/complicações
Stents
Síndrome da Veia Cava Superior/etiologia
Síndrome da Veia Cava Superior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Procedimentos Endovasculares/efeitos adversos
Feminino
Seres Humanos
Complicações Intraoperatórias/epidemiologia
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Qualidade de Vida
Estudos Retrospectivos
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE
[do] DOI:10.1080/21548331.2017.1342507


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[PMID]:28484121
[Au] Autor:Lai CH; Chang WC; Liu TJ; Lee WL; Su CS
[Ad] Endereço:Cardiovascular Center, Taichung Veterans General Hospital.
[Ti] Título:Endovascular Treatment of Concomitant Obstructions of a Denver Drainage Catheter and Superior Vena Cava in a Patient With Liver Cirrhosis.
[So] Source:Int Heart J;58(3):447-450, 2017 May 31.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:With the increased use of intravascular catheters and devices, they have become the major non-malignant cause of superior vein cava (SVC) syndrome. We report a patient with liver cirrhosis who had received a peritoneovenous drainage catheter for refractory ascites, and then developed SVC syndrome because of concomitant occlusions of both the SVC and the drainage catheter. The patient regained patency of both the occluded vessel and the drainage catheter through percutaneous transluminal venoplasty, and there was dramatic improvement of clinical symptoms and good performance of the drainage catheter. Percutaneous intervention may be a feasible and effective therapy for SVC syndrome and intra-catheter thrombosis-related dysfunction.
[Mh] Termos MeSH primário: Cateteres de Demora/efeitos adversos
Procedimentos Endovasculares/métodos
Cirrose Hepática/complicações
Síndrome da Veia Cava Superior/cirurgia
Veia Cava Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Ascite/diagnóstico
Ascite/terapia
Constrição Patológica/cirurgia
Drenagem/instrumentação
Falha de Equipamento
Seres Humanos
Masculino
Meia-Idade
Flebografia
Síndrome da Veia Cava Superior/diagnóstico
Síndrome da Veia Cava Superior/etiologia
Tomografia Computadorizada por Raios X
Veia Cava Superior/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-300


  10 / 2111 MEDLINE  
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[PMID]:28429206
[Au] Autor:Niu S; Xu YS; Cheng L; Cao C
[Ad] Endereço:Department of Interventional Radiology, Xuzhou Central Hospital, 199 South Jiefang Road, Xuzhou, Jiangsu, China.
[Ti] Título:Stent insertion for malignant superior vena cava syndrome: effectiveness and long-term outcome.
[So] Source:Radiol Med;122(8):633-638, 2017 Aug.
[Is] ISSN:1826-6983
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the clinical effectiveness and long-term outcome of stent insertion for malignant superior vena cava (SVC) syndrome. MATERIALS AND METHODS: From June 2010 to April 2016, 47 patients with malignant SVC syndrome were treated with stent insertion in our center. Data regarding the technical success, clinical success, and long-term outcome were collected and analyzed retrospectively. RESULTS: SVC stent insertion was successfully performed in all patients. A total of 65 stents were used. No procedure-related complication occurred in these patients. The mean SVC pressure gradient decreased from 17.8 mmHg before stent insertion to 7.6 mmHg after stent insertion (P < 0.001). Clinical success was 100%. During a mean follow-up period of 6 months (range 10 days-13 months), 25 patients underwent subsequent anti-cancer treatment. Six patients (12.8%) experienced re-obstruction of stent 1 to 189 days (median 76 days) after stent insertion. All patients died during the follow-up. The median stent patency time and survival were 339 and 167 days, respectively. The cumulative 3-, 6-, and 12-month stent patency rates were 93.4, 87.4, and 81.2%, respectively. The cumulative 3-, 6-, and 12-month survival rates were 83, 38.3, and 2.1%, respectively. The independent predictors of prolonging survival after stent insertion were lower tumor stage (P = 0.018) and subsequent anti-cancer treatment after stent insertion (P = 0.009). CONCLUSION: Stent insertion is a simple, safe, and effective method for patients with malignant SVC syndrome. Subsequent anti-cancer treatment after stent insertion may increase the survival.
[Mh] Termos MeSH primário: Cuidados Paliativos/métodos
Stents
Síndrome da Veia Cava Superior/mortalidade
Síndrome da Veia Cava Superior/patologia
Síndrome da Veia Cava Superior/cirurgia
Neoplasias Vasculares/mortalidade
Neoplasias Vasculares/secundário
Neoplasias Vasculares/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Fluoroscopia
Seres Humanos
Masculino
Meia-Idade
Radiografia Intervencionista
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1007/s11547-017-0767-1



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