Endovascular iliocaval reconstruction for the treatment of iliocaval thrombosis: From imaging to intervention.

MedStar author(s):
Citation: Vascular Medicine. 23(3):267-275, 2018 06.PMID: 29502492Institution: MedStar Washington Hospital CenterDepartment: Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Endovascular Procedures | *Vena Cava, Inferior/su [Surgery] | *Venous Thrombosis/su [Surgery] | Constriction, Pathologic/su [Surgery] | Endovascular Procedures/mt [Methods] | Humans | Iliac Vein/su [Surgery] | Treatment Outcome | Vascular Patency/ph [Physiology] | Venous Thrombosis/dg [Diagnostic Imaging]Year: 2018ISSN:
  • 1358-863X
Name of journal: Vascular medicine (London, England)Abstract: Thrombosis of the inferior vena cava and iliac veins, known as iliocaval thrombosis, is a common cause of significant morbidity. Patients with chronic iliocaval obstruction often present with life-limiting occlusive symptoms secondary to recurrent lower extremity deep venous thrombosis, swelling, pain, venous stasis ulcers, or phlegmasia. Endovascular iliocaval reconstruction is a technically successful procedure that results in favorable clinical outcomes and stent patency rates with few complications and is often able to relieve debilitating symptoms in affected patients. This review presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis, including background, patient selection, timing of intervention, procedural steps, technical considerations, patient follow-up, and a brief review of outcomes. Schematic illustrations and clinical cases outlining iliocaval stent reconstruction and crossing chronic venous occlusions have been provided.All authors: Abramowitz SD, Barnes GD, Chick JFB, Cooper KJ, Hage AN, Khaja MS, Srinivasa RNOriginally published: Vascular Medicine. :1358863X18754695, 2018 Mar 01Fiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-04-20
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Journal Article MedStar Authors Catalog Article 29502492 Available 29502492

Thrombosis of the inferior vena cava and iliac veins, known as iliocaval thrombosis, is a common cause of significant morbidity. Patients with chronic iliocaval obstruction often present with life-limiting occlusive symptoms secondary to recurrent lower extremity deep venous thrombosis, swelling, pain, venous stasis ulcers, or phlegmasia. Endovascular iliocaval reconstruction is a technically successful procedure that results in favorable clinical outcomes and stent patency rates with few complications and is often able to relieve debilitating symptoms in affected patients. This review presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis, including background, patient selection, timing of intervention, procedural steps, technical considerations, patient follow-up, and a brief review of outcomes. Schematic illustrations and clinical cases outlining iliocaval stent reconstruction and crossing chronic venous occlusions have been provided.

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