Title Endovascular Treatment of Superior Cave Syndromes Reaching the Trifurcation: a Single-Center Case Series (TESC-Tri)

Civil Hospices of Lyon

Status: Completed

Conditions: Superior Cave Syndrome

Treatments: Other: Data collection

Study type: Observational

Funder types: Other

Identifiers

NCT06680999

69HCL24_0299

Details and patient eligibility

About

Superior vena cava syndrome (SCS) is caused by obstruction of blood flow in the superior vena cava, which allows venous return from the upper half of the body to the heart.

The causes are most often oncological, but can also be benign (coagulopathy, Behçet) or iatrogenic (catheterisation, PAC).

The surgical management of superior vena cava syndromes (SCS) involves the use of innovative endovascular techniques, which have become the therapy of first choice for symptomatic patients, whether the occlusion occurs in a benign or malignant context. For occlusive lesions involving the trifurcation, there are several surgical approaches and strategies, but very little data on their efficacy. In particular, Y-stenting has been described in several case reports as a means of treating the SCS and keeping the two jugulo-subclavian veins (VJSC) patent. This innovative technique has been used for several years by the vascular surgery team at Hôpital Louis Pradel.

The aim of our study is to assess the feasibility and medium-term efficacy of innovative endovascular treatments for SCS involving the trifurcation.

Enrollment: 20 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients treated by endovascular surgery (stenting) at Hospices Civils de Lyon between March 2019 and July 2023 for superior cave syndrome

Exclusion criteria

• Minor patients
• Patients unable to give consent
• Patients unable to understand French
• Patients with lesions not reaching the trifurcation (elective involvement of the superior vena cava)

Trial design

20 participants in 1 patient group

Treated patients

Description:

All patients treated by endovascular surgery (stenting) at Hospices Civils de Lyon between March 2019 and July 2023 for superior cave syndrome, with lesions reaching the trifurcation (elective involvement of the superior vena cava)

Treatment:

Other: Data collection