Superior Vena Cava Syndrome Questions & Answers

Updated: Mar 26, 2018
  • Author: Todd A Nickloes, DO, FACOS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Questions & Answers

Overview

What is superior vena cava syndrome (SVCS)?

When was superior vena cava syndrome (SVCS) first discovered?

What is the superior vena cava (SVC)?

What is characteristic of superior vena cava (SVC) obstruction?

What is the pathogenesis of superior vena cava syndrome (SVCS)?

What are the malignant causes of superior vena cava syndrome (SVCS)?

What are nonmalignant conditions that cause superior vena cava syndrome (SVCS)?

What is the prevalence of superior vena cava syndrome (SVCS)?

How does the prevalence of superior vena cava syndrome (SVCS) vary by age?

How does the prevalence of superior vena cava syndrome (SVCS) vary by sex?

How does the prevalence of superior vena cava syndrome (SVCS) vary by race?

What is the prognosis of superior vena cava syndrome (SVCS)?

What are the survival rates for superior vena cava syndrome (SVCS)?

Presentation

What are the signs and symptoms of superior vena cava syndrome (SVCS)?

Which physical findings are characteristic of superior vena cava syndrome (SVCS)?

What are complications of superior vena cava syndrome (SVCS)?

DDX

What are the differential diagnoses for Superior Vena Cava Syndrome?

Workup

What is the role of imaging in the diagnosis of superior vena cava syndrome (SVCS)?

What is the role of chest radiography in the evaluation of superior vena cava syndrome (SVCS)?

What is the role of CT scanning in the evaluation of superior vena cava syndrome (SVCS)?

What is the imaging study of choice to determine etiology of superior vena cava syndrome (SVCS)?

What is the role of gallium single-proton emission CT (SPECT) in the diagnosis of superior vena cava syndrome (SVCS)?

What is the role of MRI in the diagnosis of superior vena cava syndrome (SVCS)?

What is the role of invasive contrast venography in the diagnosis of superior vena cava syndrome (SVCS)?

Which diagnostic procedures are performed in the evaluation of superior vena cava syndrome (SVCS)?

Treatment

What are the management options for superior vena cava syndrome (SVCS)?

What role does radiotherapy play in the treatment of superior vena cava syndrome (SVCS)?

What is the fractionation schedule for radiotherapy for superior vena cava syndrome (SVCS)?

What is the efficacy of radiation therapy for superior vena cava syndrome (SVCS)?

What is the role of chemotherapy in the treatment of superior vena cava syndrome (SVCS)?

Which treatment has proved superior for treatment of superior vena cava syndrome (SVCS)?

When are thrombolytics or anticoagulants indicated for the treatment of superior vena cava syndrome (SVCS)?

What is the efficacy of anticoagulation therapy for superior vena cava syndrome (SVCS)?

When is hospital admission indicated for the management of superior vena cava syndrome (SVCS)?

When are symptomatic treatments for superior vena cava syndrome (SVCS)?

When is surgical bypass indicated for the treatment of superior vena cava syndrome (SVCS)?

What are the options for endovascular therapy for superior vena cava syndrome (SVCS)?

What is the efficacy of endovascular therapies for superior vena cava syndrome (SVCS)?

Which specialists should be consulted for the treatment of superior vena cava syndrome (SVCS)?

What monitoring is required during treatment of superior vena cava syndrome (SVCS)?

Medications

What are the goals of drug treatment for superior vena cava syndrome (SVCS)?

Which medications in the drug class Anticoagulants are used in the treatment of Superior Vena Cava Syndrome?

Which medications in the drug class Thrombolytics are used in the treatment of Superior Vena Cava Syndrome?

Which medications in the drug class Corticosteroids are used in the treatment of Superior Vena Cava Syndrome?