Endovascular Iliocaval Reconstruction for Chronic Iliocaval Thrombosis: The Data, Where We Are, and How It is Done.
Endovascular Iliocaval Reconstruction for Chronic Iliocaval Thrombosis: The Data, Where We Are, and How It is Done.
- 2018
Copyright (c) 2018 Elsevier Inc. All rights reserved. Iliocaval thrombosis, or thrombosis of the inferior vena cava and iliac veins, is associated with significant morbidity in the form of limb-threatening compromise from phlegmasia cerulean dolens, development of post-thrombotic syndrome, and death secondary to pulmonary embolism. Endovascular iliocaval reconstruction is an effective treatment for iliocaval thrombosis with high levels of technical success, favorable clinical outcomes and stent patency rates, and few complications. It is often able to relieve the debilitating symptoms experienced by affected patients and is a viable option for patients who fail conservative management. This article presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis that takes into consideration background, patient selection and indications, timing of intervention, procedural steps, technical considerations, postprocedural care, and outcomes, along with providing schematic illustrations that serve to outline iliocaval stent reconstruction and management of chronic venous occlusions.
English
1557-9808
10.1053/j.tvir.2018.03.005 [doi] S1089-2516(18)30015-5 [pii]
*Angioplasty, Balloon/mt [Methods]
*Iliac Vein
*Thrombectomy/mt [Methods]
*Vena Cava, Inferior
*Venous Thrombosis/th [Therapy]
Adult
Aged
Angiography, Digital Subtraction
Angioplasty, Balloon/ae [Adverse Effects]
Angioplasty, Balloon/is [Instrumentation]
Chronic Disease
Clinical Decision-Making
Computed Tomography Angiography
Female
Humans
Iliac Vein/dg [Diagnostic Imaging]
Iliac Vein/pp [Physiopathology]
Male
Middle Aged
Patient Selection
Phlebography/mt [Methods]
Risk Factors
Stents
Thrombectomy/ae [Adverse Effects]
Thrombectomy/is [Instrumentation]
Treatment Outcome
Vascular Patency
Vena Cava, Inferior/dg [Diagnostic Imaging]
Vena Cava, Inferior/pp [Physiopathology]
Venous Thrombosis/dg [Diagnostic Imaging]
Venous Thrombosis/pp [Physiopathology]
MedStar Washington Hospital Center
Surgery/Vascular Surgery
Journal Article
Copyright (c) 2018 Elsevier Inc. All rights reserved. Iliocaval thrombosis, or thrombosis of the inferior vena cava and iliac veins, is associated with significant morbidity in the form of limb-threatening compromise from phlegmasia cerulean dolens, development of post-thrombotic syndrome, and death secondary to pulmonary embolism. Endovascular iliocaval reconstruction is an effective treatment for iliocaval thrombosis with high levels of technical success, favorable clinical outcomes and stent patency rates, and few complications. It is often able to relieve the debilitating symptoms experienced by affected patients and is a viable option for patients who fail conservative management. This article presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis that takes into consideration background, patient selection and indications, timing of intervention, procedural steps, technical considerations, postprocedural care, and outcomes, along with providing schematic illustrations that serve to outline iliocaval stent reconstruction and management of chronic venous occlusions.
English
1557-9808
10.1053/j.tvir.2018.03.005 [doi] S1089-2516(18)30015-5 [pii]
*Angioplasty, Balloon/mt [Methods]
*Iliac Vein
*Thrombectomy/mt [Methods]
*Vena Cava, Inferior
*Venous Thrombosis/th [Therapy]
Adult
Aged
Angiography, Digital Subtraction
Angioplasty, Balloon/ae [Adverse Effects]
Angioplasty, Balloon/is [Instrumentation]
Chronic Disease
Clinical Decision-Making
Computed Tomography Angiography
Female
Humans
Iliac Vein/dg [Diagnostic Imaging]
Iliac Vein/pp [Physiopathology]
Male
Middle Aged
Patient Selection
Phlebography/mt [Methods]
Risk Factors
Stents
Thrombectomy/ae [Adverse Effects]
Thrombectomy/is [Instrumentation]
Treatment Outcome
Vascular Patency
Vena Cava, Inferior/dg [Diagnostic Imaging]
Vena Cava, Inferior/pp [Physiopathology]
Venous Thrombosis/dg [Diagnostic Imaging]
Venous Thrombosis/pp [Physiopathology]
MedStar Washington Hospital Center
Surgery/Vascular Surgery
Journal Article