CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 2(01): 20-23
DOI: 10.4103/AJIR.AJIR_3_18
Case Report

Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion

Osman S. Ahmed
Department of Radiology, Section of Vascular and Interventional Radiology, Rush University Medical Center, North Chicago, IL, USA
Roberto Santos Loanzon
Chicago Medical School, Rosalind Franklin University, North Chicago, IL, USA
Bulent Arslan
Department of Radiology, Section of Vascular and Interventional Radiology, Rush University Medical Center, North Chicago, IL, USA
› Author Affiliations
Financial support and sponsorship Nil.

We report a case of a 45-year-old female with a history of chronic iliac vein and inferior vena cava (IVC) occlusion, who presented with diffuse bilateral lower limb edema and pain secondary to severe postthrombotic syndrome. Computed tomography and digital subtraction angiography demonstrated reocclusion in the patient's previously placed iliofemoral and IVC stents. Recanalization was achieved with a percutaneous endovascular bypass approach after unsuccessful attempts using standard and other advanced endovascular techniques including sharp needle and radiofrequency wire recanalization.

Publication History

Article published online:
26 March 2021

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