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Table 2 Kishi Scoring system

From: Review of evolving etiologies, implications and treatment strategies for the superior vena cava syndrome

Clinical signs (Lacout et al. 2012; Kishi et al. 1993)

Weighting

Neurological signs

Awareness disorders or coma

4

Visual disorders, headache, vertigo or memory disorders

3

Mental disorders

2

Malaise

1

Thoracic or pharyngeal-laryngeal signs

Orthopnea or laryngeal edema

3

Stridor, dysphagia or dyspnea

2

Coughing or pleurisy

1

Facial signs

Lip edema, nasal obstruction or epistaxis

2

Facial edema

1

Vessel dilation

Neck, face or arms

1

  1. Presence of any of the symptoms in the left column give the points indicated in the right column. The total points are added to together. A score of 4 or higher indicates a need for percutaneous stent placement
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