التهاب المنصف الليفي: إدارة الأعراض النشطة وضغط المنصف التدريجي بعد إخفاق ريتوكسيماب في تحقيق السيطرة على المرض

References

• In patients with symptoms or significant progressive compression of vital structures, therapies are typically divided into medical versus interventional.
• Non-surgical interventions include either pulmonary artery and/or endobronchial angioplasty and stenting.
• Surgical interventions can include excision of tissue via pneumonectomy or lobectomy or even surgical debulking/decompression.
• In patients with SVC syndrome, SVC bypass, or vascular reconstruction using saphenous spiral vein graft, polytetrafluoroethylene (PTFE) or Dacron graft have been used.
• Less commonly performed are pulmonary vein balloon angioplasty; the largest study examining pulmonary vein stenosis/angioplasty involved 31 patients, with noted improvement in WHO functional class, six-minute walk test, and clinical symptoms.