CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S30
DOI: 10.1055/s-0041-1730729
Abstract

Ballooning of Inferior Vena Cava and Iliac Veins Is It Enough for Treating of Chronic Venous Insufficiency

Mohamed Ismail
Ain Shams University, Cairo, Egypt
,
Amr Mahmoud
Ain Shams University, Cairo, Egypt
› Author Affiliations

Background: The aim of the study was to evaluate patency and improvement of symptoms of chronic venous insufficiency after ballooning of inferior vena cava (IVC) and iliac by high pressure balloons without stenting Methods: retrospective study of patients is manifested by chronic venous insufficiency physically active with extensive iliocaval obstruction or stenosis. We collected data from ten patients underwent ballooning of iliac veins and IVC by high pressure balloons (sequential gradual dilatation up to 18 mm balloon for 3 min each time) after passing the lesion by hydrophilic 0.035 wires combined with stiff wire 0.035 through ipsilateral antegrade popliteal access in five patients, femoral vein in thre patients, and through GSV in two patients ultrasound guided. Results: Two out of 10 patients need reintevention within 1 year, one of them developed extensive iliofemoral deep venous thrombosis, 8 of them their symptoms improved with 100% primary patency with follow-up venous duplex. Conclusion: although the typical recoil nature of venous disease, primary patency of balloon venoplasty has a preliminary good results with no consequences of possibility of stent occlusion.



Publication History

Article published online:
11 May 2021

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