Endovascular recanalization of chronic long-segment occlusions of the inferior vena cava: midterm results

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Wouter W te RieleJean-Paul P M de Vries

Abstract

To report the midterm results of endovascular recanalization of chronic long-segment (> 5 cm) occlusions of the inferior vena cava (IVC) with stent placement. Nine patients (5 men; median age 30 years, range 14-58) with disabling complaints for more than 6 months caused by IVC occlusions were treated by endovascular recanalization. Mean occlusion length was 11 cm (range 6-22); some occlusions extended to the iliac (n = 3) or common femoral (n = 2) veins. All procedures were performed under local anesthesia via a bilateral femoral (n = 7) or popliteal (n = 2) approach. In 3 patients, combined access to the brachial or internal jugular vein was necessary. Patients with acute-on-chronic thrombosis were pretreated with urokinase. After guidewire recanalization, the chronic occlusions were predilated and self-expanding Wallstents were implanted. The initial technical and clinical success was 100%. The venous clinical severity score (pain, venous edema, inflammation, and active ulceration) decreased from a mean 8 +/- 2 to 5 +/- 1 after the procedure. Over a median follow-up of 9 months (mean 21, range 4- 110), 3 patients died. One rethrombosis occurred, and an asymptomatic restenosis was discovered on routine imaging. The primary pat...Continue Reading

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Citations

Feb 26, 2013·Cardiovascular Intervention and Therapeutics·Budanur Chikkaswamy SrinivasC Nanjappa Manjunath
Mar 19, 2014·Cardiovascular and Interventional Radiology·Andreas H MahnkenGerard J O'Sullivan
Jul 8, 2015·Journal of Thrombosis and Haemostasis : JTH·S Vedantham
Sep 12, 2014·Cardiovascular and Interventional Radiology·Qingqiao ZhangHongtao Liu
Apr 10, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O HartungY S Alimi
Jul 8, 2016·Acta chirurgica Belgica·Bert Du PontPatrick Peeters
Aug 23, 2016·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·H JalaieC H A Wittens
Feb 27, 2013·Vascular Medicine·B J McAreeB Lee
Jan 18, 2017·Deutsches Ärzteblatt International·Karina SchleimerHouman Jalaie

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