Vena kava süperior sendromu ve malign trakeobronşiyal stenozlu iki olguda çift stent (trakeobronşiyal dumon ve endovasküler wallstent) tedavisi
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Inoperabl küçük hücreli dışı akciğer kanseri nedeniyle trakeobronşiyal stenoz ve vena kava süperior sendromu (VKSS) gelişen iki olguda uygulanan endobronşiyal lazer, stent tedavileri ve endovasküler stent implantasyonu sonuçları tartışıldı. Malign trakeobronşiyal stenoza bağlı solunum yetmezliği ile başvuran iki olgu, Nd-YAP lazer (Neodymium Yttrium Aluminium Pevroskite Laser) ve silikon stent implantasyonu ile tedavi edildi. Solunum paterni normale dönen hastalar bir süre sonra VKSS ve solunum sıkıntısı ile tekrar başvurdu. Küratif doz radyoterapi ve kemoterapilerini tamamlamış olan hastalara endovasküler wallstent ve ikinci kez endobronşiyal lazer rekanalizasyonu ve silikon stent implantasyonu uygulandı. Hastaların semptomlarında ve baş, boyun üst ekstremjte ödeminde dramatik düzelme gözlendi. Bu işlemlerden sonra, birinci olgu dört ay, ikinci olgu altı ay yaşadı. Akciğer kanserli hastalarda terapötik bronkoskopik yöntemlerin sık kullanılması yaşam kalitesi ve süresini arttırmaktadır. Küratif ve palyatif radyoterapiye rağmen gelişen VKSS olgularında endovasküler stent implantasyonu efektif ve hızlı palyasyon sağlamaktadır.
We investigated the use of endobronchial laser, stenting and endovascular stenting treatments in two cases having inoperable tracheobronchial tumors (non-small cell carcinoma) complicated with superior vena cava syndrome (SVCS). Two patients-who applied with respiratory insufficiency due to malignant tracheobronchial stenoses, were treated by Nd-YAP laser (Neodymium Yttrium Aluminium Pevroskite Laser) and silicone stent insertion. Several months later after remission of the symptoms, patients were reapplied with severe dyspnea and SVCS. After curative doses of radiotherapy and chemotherapy were completed endovascular wallstent was implanted to the superior vena cava as well as second application of endobronchial laser recanalization and silicone stenting were made. The respiratory symptoms and head, neck and upper extremity oedema were improved dramatically. After these procedures, patients were survived four and six months respectively. Improvement of life quality and prolonged survival can be achieved by the frequent use of therapeutic bronchoscopic procedures in patients with lung cancer. Endovascular stent implantation provides effective and rapid palliation in cases having SVCS, despite curative and palliative radiotherapy.
We investigated the use of endobronchial laser, stenting and endovascular stenting treatments in two cases having inoperable tracheobronchial tumors (non-small cell carcinoma) complicated with superior vena cava syndrome (SVCS). Two patients-who applied with respiratory insufficiency due to malignant tracheobronchial stenoses, were treated by Nd-YAP laser (Neodymium Yttrium Aluminium Pevroskite Laser) and silicone stent insertion. Several months later after remission of the symptoms, patients were reapplied with severe dyspnea and SVCS. After curative doses of radiotherapy and chemotherapy were completed endovascular wallstent was implanted to the superior vena cava as well as second application of endobronchial laser recanalization and silicone stenting were made. The respiratory symptoms and head, neck and upper extremity oedema were improved dramatically. After these procedures, patients were survived four and six months respectively. Improvement of life quality and prolonged survival can be achieved by the frequent use of therapeutic bronchoscopic procedures in patients with lung cancer. Endovascular stent implantation provides effective and rapid palliation in cases having SVCS, despite curative and palliative radiotherapy.
Açıklama
Anahtar Kelimeler
Akciğer neoplazmları, Süperior vena kava sendromu, Daralma, patolojik, Bronşiyal hastalıkları, Stentler, Lung Neoplasms, Superior Vena Cava Syndrome, Bronchial Diseases, Constriction, Pathologic, Stents
Kaynak
Solunum Hastalıkları
WoS Q Değeri
Scopus Q Değeri
Cilt
15
Sayı
2
Künye
Karaağaç, G., Sarıman, N., Levent, E. vd. (2004). Vena kava süperior sendromu ve malign trakeobronşiyal stenozlu iki olguda çift stent (trakeobronşiyal dumon ve endovasküler wallstent) tedavisi / Superior vena cava syndrome and double stenting (tracheobronchial dumon and endovascular wallstent) in two cases with malignant tracheobronchial stenosis. Solunum Hastalıkları, Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi. 15(2), s. 99-104.
Bağlantı
https://turkmedline.net/search.html?column[]=journal&keyword[]=&title[]=&journal[]=220&authors[]=&keywords[]=&abstract[]=&year_start[]=&year_finish[]=&mn_year[]=&volume[]=&number[]=&seperator[]=AND&column[]=mn_vol_is&keyword[]=&title[]=&journal[]=&authors[]=&keywords[]=&abstract[]=&year_start[]=&year_finish[]=&mn_year[]=2004&volume[]=15&number[]=2
https://hdl.handle.net/20.500.12415/4338
https://hdl.handle.net/20.500.12415/4338
