Endovascular Iliocaval Stent Reconstruction for Inferior Vena Cava Filter-Associated Iliocaval Thrombosis: Approach, Technical Success, Safety, and Two-Year Outcomes in 120 Patients

Journal of Vascular and Interventional Radiology : JVIR
Jeffrey Forris Beecham ChickDavid M Williams

Abstract

To report technical success, outcomes, and patency of iliocaval stent reconstruction for inferior vena cava (IVC) filter-bearing iliocaval thrombosis. A total of 120 patients with 123 IVC filters and symptomatic iliocaval thrombosis underwent stent reconstruction. Mean patient age was 55 years (range, 19-88 y). Filters included 70 (57%) retrievable and 53 (43%) permanent filters. Symptoms included lower extremity swelling or pain (n = 93), ulcers (n = 8), phlegmasia (n = 7), back pain (n = 5), shortness of breath (n = 4), worsening renal function (n = 2), and stenosis identified during translumbar catheter placement (n = 1). Clinical success was defined as decrease in clinical, etiology, anatomy, and pathophysiology (CEAP) score of at least 1; resolution of presenting symptoms; or normalization of renal function in patients with juxtarenal or suprarenal thrombosis on presentation. Technical aspects of reconstruction, technical success, complications, 6-month clinical response, and 6-, 12-, and 24-month primary, primary-assisted, and secondary stent patency rates were recorded. Stent reconstruction was technically successful in all 120 patients, 63 of whom (53%) underwent thrombolysis. Thirty filters (24%) were retrieved, and 93...Continue Reading

Citations

Mar 6, 2018·Vascular Medicine·Anthony N HageJeffrey Forris Beecham Chick
Jan 27, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jeffrey Forris Beecham ChickDavid M Williams
Jan 19, 2021·VASA. Zeitschrift für Gefässkrankheiten·Peter Franz Klein-WeigelLukas Beyer
Feb 9, 2021·Annals of Vascular Surgery·Limael E RodriguezDonald L Jacobs
Nov 19, 2020·AJR. American Journal of Roentgenology·Andrew KesselmanDavid Trost
Jul 20, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Mohamed ElboraeyZlatko Devcic
Dec 10, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·Anthony N GrieffWilliam E Beckerman
Sep 12, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Narayanan ThulasidasanStephen A Black
Oct 31, 2021·Pediatric Radiology·John J WeaverEric J Monroe

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