Iliocaval Confluence Stenting for Chronic Venous Obstructions

Cardiovascular and Interventional Radiology
R de GraafH Jalaie

Abstract

Different techniques have been described for stenting of venous obstructions. We report our experience with two different confluence stenting techniques to treat chronic bi-iliocaval obstructions. Between 11/2009 and 08/2014 we treated 40 patients for chronic total bi-iliocaval obstructions. Pre-operative magnetic resonance venography showed bilateral extensive post-thrombotic scarring in common and external iliac veins as well as obstruction of the inferior vena cava (IVC). Stenting of the IVC was performed with large self-expandable stents down to the level of the iliocaval confluence. To bridge the confluence, either self-expandable stents were placed inside the IVC stent (24 patients, SECS group) or high radial force balloon-expandable stents were placed at the same level (16 patients, BECS group). In both cases, bilateral iliac extensions were performed using nitinol stents. Recanalization was achieved for all patients. In 15 (38 %) patients, a hybrid procedure with endophlebectomy and arteriovenous fistula creation needed to be performed because of significant involvement of inflow vessels below the inguinal ligament. Mean follow-up was 443 ± 438 days (range 7-1683 days). For all patients, primary, assisted-primary, and s...Continue Reading

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Citations

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
Oct 19, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K YeM Jiang
Feb 8, 2018·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Takuya ShidaKiyotaka Iwasaki
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Mar 9, 2018·VASA. Zeitschrift für Gefässkrankheiten·Michael LichtenbergChristian Erbel
Dec 10, 2019·International Angiology : a Journal of the International Union of Angiology·Stephen A BlackChung S Lim
Aug 19, 2018·Cardiovascular and Interventional Radiology·Masayuki EndoKhashayar Farsad
Jun 18, 2020·Research and Practice in Thrombosis and Haemostasis·Pascale NottenArina J Ten Cate-Hoek
Apr 18, 2018·BioMed Research International·Pierfrancesco VerouxMassimiliano Veroux
Aug 16, 2017·Der Radiologe·L KamperP Haage
Oct 29, 2020·VASA. Zeitschrift für Gefässkrankheiten·Houman JalaieMohammad Esmaeil Barbati
May 10, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Arshpreet Singh BadeshaTaha Khan
Jul 15, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Aaron C DaubJeffrey Forris Beecham Chick
Jun 4, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·Christopher L Delaney, Phillip J Puckridge
Oct 5, 2021·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Ya-Dong ZhouYun-Biao Guan
Aug 12, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O GrøttaA Rosales

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