Malignant obstruction of superior vena cava: Endovascular stenting using Y-configuration stent in stent technique

• Main Authors: Karim, Noor Khairiah A., Naser, Mohamad Nazrulhisham Mad, Nor, Hazman Mohd
• Format: Article
• Published: Malaysian Medical Association 2018
• Subjects: R Medicine
• Online Access: http://eprints.um.edu.my/21682/; http://www.e-mjm.org/2018/v73n6/endovascular-stenting.pdf

Malignant intrathoracic disease is the commonest cause of superior vena cava (SVC) obstruction. Life threatening SVC obstruction with intense dyspnoea requires urgent treatment. SVC stenting has been developed in recent years which results in rapid relief of the obstruction. The Y-configuration technique has been reported to provide support for all three limbs of the bifurcation to prevent restenosis. At present, there are limited reports on the use of Y-configuration stent in stent techniques for endovascular stenting in malignant SVC obstruction. We share our clinical experience of two patients who received balloon-mounted stents using this technique.