Endovascular iliocaval reconstruction for the treatment of iliocaval thrombosis: From imaging to intervention.
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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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.
English