Inferior vena cava obstruction: long-term results of endovascular management.

Indian Heart Journal
B C SrinivasC N Manjunath

Abstract

Hepatic venous outflow obstruction (HVOO) can have acute or chronic presentation. In the chronic variety of inferior vena cava (IVC) obstruction, endovascular management with balloon angioplasty and stent implantation has emerged as a feasible, safe alternative to surgery which has high incidence of mortality and morbidity. To study the feasibility and long-term follow-up of endovascular management of chronic IVC obstruction. We studied 12 cases of HVOO who underwent endovascular management (balloon dilatation ± stenting). In most of the cases, the cause of obstruction was not obvious, but one case had metastatic hepatic nodules compressing on IVC. Diagnosis was established by clinical examination, venous Doppler and was confirmed by venography and/or computed tomography (CT) angiography. Cases underwent balloon dilatation and/or stenting. Out of 12 cases, six had membranous obstruction (four complete and two incomplete), five cases had segmental stenosis and one case had tumour compression. The lesion was crossed with either guide wire or Brockenbrough needle with Mullins sheath assembly and balloon dilatation was done with Inoue or Mansfield balloon. Seven cases underwent balloon dilatation alone while five cases underwent st...Continue Reading

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Citations

Feb 26, 2013·Cardiovascular Intervention and Therapeutics·Budanur Chikkaswamy SrinivasC Nanjappa Manjunath
Mar 20, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Javairiah FatimaDaniel G Clair
Mar 17, 2015·Cardiovascular and Interventional Radiology·Rick de GraafHouman Jalaie
Jan 16, 2015·European Journal of Gastroenterology & Hepatology·Andrea Mancuso
Apr 28, 2016·Journal of Vascular and Interventional Radiology : JVIR·Zlatko DevcicDaniel Y Sze
Jun 9, 2016·Cardiovascular and Interventional Radiology·Fahrettin KucukayMurat Bulent Kucukay
Jul 8, 2017·Cardiovascular and Interventional Radiology·Daniel KuettingCarsten Meyer
Dec 12, 2018·World Journal of Hepatology·Sirisha GrandheCatherine T Frenette
May 30, 2013·World Journal of Hepatology·Andrea MancusoLuca Saverio Belli
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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