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Palliative Medicine
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A case series of inferior vena cava stenting for lower limb oedema in palliative care

H McGee

Edenhall Marie Curie Centre, Hampstead, London; Pembridge Palliative Care Centre, St Charles Hospital, Paddington, London

D Maudgil

Department of Radiology, Royal Free Hospital, London

A Tookman

A Kurowska

Edenhall Marie Curie Centre, Hampstead, London

A F Watkinson

Royal Free Hospital, London; Royal Devon and Exeter Hospital, Exeter

Inferior vena caval obstruction (IVCO) is an occasional cause of lower limb oedema in palliative care patients with metastatic malignancy. We present five cases who underwent IVC stenting for symptomatic relief. Four of the five cases had significant reduction in their oedema but three of these four patients died within two weeks of the procedure. The procedure itself is described and the appropriateness of this intervention in patients with end-stage disease is discussed.

Key Words: inferior • palliative care • stents • vena cava

Palliative Medicine, Vol. 18, No. 6, 573-576 (2004)
DOI: 10.1191/0269216304pm932cr
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