Semin intervent Radiol 2022; 39(05): 464-474
DOI: 10.1055/s-0042-1757936
Review Article

Iliocaval Reconstruction: Review of Technique, Challenges, and Outcomes

Dhara Kinariwala
1   Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health, Charlottesville, Virginia
,
Amber Liles
2   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan - Michigan Medicine, Ann Arbor, Michigan
,
David M. Williams
2   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan - Michigan Medicine, Ann Arbor, Michigan
,
Minhaj S. Khaja
2   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan - Michigan Medicine, Ann Arbor, Michigan
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Abstract

Iliocaval thrombosis is a major source of morbidity for patients, with a range of clinical presentations, including recurrent lower extremity deep venous thrombosis and postthrombotic syndrome. Endovascular reconstruction of chronic iliocaval occlusion has been demonstrated to be a technically feasible procedure that provides long-lasting symptom relief in combination with antithrombotic therapy and close clinical monitoring. Herein, we describe the etiologies of iliocaval thrombosis, patient assessment, patient management prior to and after intervention, procedural techniques, and patient outcomes.

Keywords

iliocaval thrombosis - postthrombotic syndrome - iliocaval recanalization - venous reconstruction


Publication History

Article published online:
20 December 2022

© 2022. Thieme. All rights reserved.

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