Application value of kissing stenting for the treatment of bilateral brachiocephalic-superior vena cava obstruction

Objective: To evaluate the clinical value of the kissing stenting in bilateral brachiocephalic-superior vena cava obstruction syndrome. Methods: Analysis the clinic effect in 17 patients who received interventional treatment retrospectively. All patients with bilateral brachiocephalic vein-superior vena cava obstruction were caused by malignant tumor. Each patient was implanted two stents by kissing stenting style. Among them, 1 patient accompanied thrombosis in brachiocephalic vein was conducted with catheter-directed thrombolysis before stenting. The symptoms, pathological signs and complications were observed after the treatment, patients were underwent follow-up to see whether symptom recurred. Results: All 17 patients received successful kissing stenting in bilateral brachiocephalic vein-superior vena cava. The symptoms and pathological signs eliminated after the operation. No serious complications occurred. Seventeen patients were underwent follow-up (1 to 16 months) with no obstructive symptom recurred including 5 patients died of the end-stage of malignant tumor. Conclusion: Kissing stenting is a safe and effective methods for the treatment of bilateral brachiocephalic-superior vena cava obstruction. (authors)