MedStar Authors catalog › Details for: 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. Journal: Techniques in vascular and interventional radiology.Published: 2018ISSN: 1557-9808.UI/PMID: 29784127.Subject(s): Adult | Aged | Angiography, Digital Subtraction | Angioplasty, Balloon/ae [Adverse Effects] | Angioplasty, Balloon/is [Instrumentation] | *Angioplasty, Balloon/mt [Methods] | Chronic Disease | Clinical Decision-Making | Computed Tomography Angiography | Female | Humans | Iliac Vein/dg [Diagnostic Imaging] | Iliac Vein/pp [Physiopathology] | *Iliac Vein | Male | Middle Aged | Patient Selection | Phlebography/mt [Methods] | Risk Factors | Stents | Thrombectomy/ae [Adverse Effects] | Thrombectomy/is [Instrumentation] | *Thrombectomy/mt [Methods] | Treatment Outcome | Vascular Patency | Vena Cava, Inferior/dg [Diagnostic Imaging] | Vena Cava, Inferior/pp [Physiopathology] | *Vena Cava, Inferior | Venous Thrombosis/dg [Diagnostic Imaging] | Venous Thrombosis/pp [Physiopathology] | *Venous Thrombosis/th [Therapy]Institution(s): MedStar Washington Hospital CenterDepartment(s): Surgery/Vascular SurgeryActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1053/j.tvir.2018.03.005 (Click here) Abbreviated citation: Tech Vasc Interv Radiol. 21(2):92-104, 2018 Jun.Abstract: 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.Abstract: Copyright (c) 2018 Elsevier Inc. All rights reserved.