superior vena cava syndrome SVC syndrome in uptodate

history

- history of SVC syndrome

history of SVC syndrome

pathogenesis

- pathogenesis of SVC syndrome

pathogenesis of SVC syndrome

**การเกิดอาการ Horner's syndrome

investigation

- lab

- imaging

 

imaging

- CXR

- CT chest

- MRI or PET-CT

- venography or nuclear scintigraphy

- mediastinoscopy

 

CXR

- CXR finding

CXR finding

- an undifferentiated large-cell bronchogenic carcinoma of the right upper lobe present with SVC obstruction

CT chest

- finding of CT chest

finding of CT chest

- dilated collateral vessels in SVC syndrome

** dilated chest wall collaterals seen in a patient with obstructing thymoma and SVC syndrome.

** multiple collaterals from occlusion of the SVC at the cavo-atrial junction in patient with fibrosing mediastinitis

** the dilated right superficial epigastric vein is circled in red in a patient with obstructing mediastinal thymoma

thymoma with compressed SVC

- the deviated and compressed SVC in a patient with mediastinal thymoma

venography or nuclear scintigraphy

- indication venography or nuclear scintigraphy

indication venography or nuclear scintigraphy

mediastinoscopy

- indication mediastinoscopy

indication mediastinoscopy

- diagnosis and staging lung cancer

treatment

- conservative Rx

- intervention Rx

- radiation therapy

- surgery

 

conservative Rx

- conservative Rx รักษาอะไรบ้าง

conservative Rx รักษาอะไรบ้าง

- salt restriction

- diuretic therapy

- elevation of the head

- steroid administration

- systemic anticoagulation

steroid administration

- indication steroid administration

indication steroid administration

intervention Rx

- indication intervention Rx

- indication immediate intervention Rx

- options of intervention Rx

indication intervention Rx

 

indication immediate intervention Rx

 

options of intervention Rx

- catheter-directed thrombolysis

- mechanical thrombolysis

- balloon angioplasty

- endovascular stenting

endovenous stent

- indication endovenous stent

indication endovenous stent

radiation therapy

- indication radiation therapy

indication radiation therapy

surgery

- indication surgery

- options of surgery

indication surgery

 

options of surgery

- venous bypass