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dc.contributor.authorMaingard, Julian-
dc.contributor.authorBrooks, Duncan Mark-
dc.identifier.citationJournal of Medical Imaging and Radiation Oncology 2017; 61(2): 232-238en_US
dc.description.abstractSuperior vena cava syndrome (SVCS) is secondary to obstruction of venous flow from the superior vena cava to the right atrium. Endovascular stenting is particularly useful when severe or rapidly progressive disease requires urgent treatment. In suspected mediastinal malignancy, transcaval biopsy can be combined with endovenous stenting to provide diagnosis and treatment in a single procedure. Three patients were referred for investigation and treatment of SVCS over a 20 month period. Under fluoroscopic guidance Cook Medical transjugular biopsy sets (with 20-gauge QuickCore biopsy needles) were used and two or three core biopsy samples were obtained. Stents were utilised to treat SVC obstructions in two of three patients. Obtained samples were adequate for histological diagnosis. Diagnoses included small cell and small cell neuroendocrine carcinoma of the lung. No procedural complications were encountered. Importantly, no further invasive diagnostic procedures were required. This is a safe and effective alternative to obtain a histological diagnosis in malignant SVCS and in the appropriate clinical setting biopsy can be combined with SVC stenting in a single procedure.en_US
dc.subjectSVC obstructionen_US
dc.subjectsuperior vena cavaen_US
dc.titleTranscaval core biopsy in malignant superior vena cava obstruction: Potential for single stage diagnosis and treatmenten_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of Medical Imaging and Radiation Oncologyen_US
dc.identifier.affiliationDepartment of Radiology, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.type.austinJournal Articleen_US, Duncan Mark
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
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