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DOI: 10.4103/AJIR.AJIR_3_18
Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion
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
© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Neglén P, Berry MA, Raju S. Endovascular surgery in the treatment of chronic primary and post-thrombotic iliac vein obstruction. Eur J Vasc Endovasc Surg 2000;20:560-71.
- 2 Erben Y, Bjarnason H, Oladottir GL, McBane RD, Gloviczki P. Endovascular recanalization for nonmalignant obstruction of the inferior vena cava. J Vasc Surg Venous Lymphat Disord 2018. pii: S2213-333X(17) 30533-4.
- 3 Ye K, Shi H, Yin M, Qin J, Yang X, Liu X, et al. Treatment of femoral vein obstruction concomitant with iliofemoral stenting in patients with severe post-thrombotic syndrome. Eur J Vasc Endovasc Surg 2017. pii: S1078-5884(17) 30723-2.
- 4 Rossi FH, Kambara AM, Izukawa NM, Rodrigues TO, Rossi CB, Sousa AG, et al. Randomized double-blinded study comparing medical treatment versus iliac vein stenting in chronic venous disease. J Vasc Surg Venous Lymphat Disord 2017. pii: S2213-333X(17) 30506-1.
- 5 Sivananthan G, MacArthur DH, Daly KP, Allen DW, Hakham S, Halin NJ, et al. Safety and efficacy of radiofrequency wire recanalization of chronic central venous occlusions. J Vasc Access 2015;16:309-14.
- 6 Tingerides C, Annamalai G, Comin JM, Kaduri S, Pugash R, David E, et al. Percutaneous recanalization of iliac artery occlusions by radiofrequency perforation: Initial experience. J Vasc Interv Radiol 2016;27:68-72.
- 7 Ito N, Isfort P, Penzkofer T, Grommes J, Greiner A, Mahnken A, et al. Sharp recanalization for chronic left iliac vein occlusion. Cardiovasc Intervent Radiol 2012;35:938-41.
- 8 Adams MK, Anaya-Ayala JE, Ismail N, Peden EK. Surgical femorocaval bypass for recalcitrant iliofemoral venous occlusion to endovascular treatment. Vasc Endovascular Surg 2012;46:578-81.
- 9 Jost CJ, Gloviczki P, Cherry KJ Jr., McKusick MA, Harmsen WS, Jenkins GD, et al. Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J Vasc Surg 2001;33:320-7.
- 10 Bercu ZL, Sheth SB, Noor A, Lookstein RA, Fischman AM, Nowakowski FS, et al. Percutaneous mesocaval shunt creation in a patient with chronic portal and superior mesenteric vein thrombosis. Cardiovasc Intervent Radiol 2015;38:1316-9.
- 11 Pokrovsky A, Ignatyev I, Gradusov E. First experience of performing hybrid operations in chronic venous obstructions of iliofemoral segments in patients with postthrombotic syndrome. Vasc Endovascular Surg 2017;51:447-52.