Malignant vena cava syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Vena cava syndrome interfering the daily life. 2. Palliative prognosis index less than 6. 3. Written informed consent from the patients. 4. Twice measurement of symptom score and health-related quality-of-life.
Exclusion criteria
Exclusion criteria: 1. Possible rapid reduction in symptom with chemotherapy or radiotherapy. 2. Not significant symptom from stenosis of vena cava. 3. Platelet count <50,000/mm3 or serum creatinine >=2.0mg/dL or total bilirubin >=3.0mg/dL. 4. Massive floating thrombus in periphery to stenosis. 5. (1) Significant cardiac disease, (2) deformity of the cardiac contour by tumor, (3) impaired cardiac function from cardiac tamponade or pulmonary thromboembolism evaluated with EKG and cardiac echo. 6. Symptomatic stenoses both in superior and inferior vena cava. 7. Candidate to bypass surgery for stenosis of vena cava. 8. Active infection. 9. Presence of acute bleeding conditions. 10. Difficulties in the evaluation of symptomatic score or quality-of-life. 11. Pregnancy. 12. Contraindication decided by the participating physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of the symptoms from malignant vena cava syndrome. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement of health-related QOL, toxicity profile, and survival time. | — |
Countries
Japan
Contacts
National Cancer Center Hospital Division of Diagnostic Radiology