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Endovascular reconstruction of an interrupted inferior vena cava.

Thomas SD, Ofri A, Tang T, Englund R - Int J Surg Case Rep (2013)

Bottom Line: This procedure was associated with minimal morbidity and resulted with a quick resolution of the patient's CVI symptoms.Advantages include a shorter hospital stay, and reduced morbidity and mortality when compared to a re-do laparotomy.Endovascular stents may be used safely and effectively to reconstruct the surgically interrupted inferior vena cava in the treatment of chronic venous insufficiency.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular Surgery, Prince of Wales Hospital, Sydney, Australia. Electronic address: shannondthomas@gmail.com.

No MeSH data available.


Related in: MedlinePlus

(A) Computed tomographic scan pre-procedure demonstrating the presence of a plication clip across the vena cava. (B) Digital subtraction angiogram, anterior–posterior projection, demonstrating stenosis of the vena cava and restenosis of the left common iliac venous stent as it crosses the iliocaval confluence thus causing stenosis of the right common iliac ostium. (C) Digital subtraction angiogram, lateral projection, demonstrating a >90% stenosis of the vena cava (arrow).
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fig0005: (A) Computed tomographic scan pre-procedure demonstrating the presence of a plication clip across the vena cava. (B) Digital subtraction angiogram, anterior–posterior projection, demonstrating stenosis of the vena cava and restenosis of the left common iliac venous stent as it crosses the iliocaval confluence thus causing stenosis of the right common iliac ostium. (C) Digital subtraction angiogram, lateral projection, demonstrating a >90% stenosis of the vena cava (arrow).

Mentions: A CT venogram (Fig. 1A) demonstrated in stent stenosis of the Zilver stent and a narrowing of the proximal right CIV. The plication clip appeared to be reducing the IVC lumen to 2–3 mm in diameter. Digital Subtraction Venography (Fig. 1B and C) confirmed a severe stenosis of the right CIV ostium with a large filling defect in the proximal portion of the CIV stent. Lateral projections revealed a pin hole stenosis of the IVC, approximately 4 cm proximal to the iliocaval confluence, presumably due to the encircling clip.


Endovascular reconstruction of an interrupted inferior vena cava.

Thomas SD, Ofri A, Tang T, Englund R - Int J Surg Case Rep (2013)

(A) Computed tomographic scan pre-procedure demonstrating the presence of a plication clip across the vena cava. (B) Digital subtraction angiogram, anterior–posterior projection, demonstrating stenosis of the vena cava and restenosis of the left common iliac venous stent as it crosses the iliocaval confluence thus causing stenosis of the right common iliac ostium. (C) Digital subtraction angiogram, lateral projection, demonstrating a >90% stenosis of the vena cava (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921659&req=5

fig0005: (A) Computed tomographic scan pre-procedure demonstrating the presence of a plication clip across the vena cava. (B) Digital subtraction angiogram, anterior–posterior projection, demonstrating stenosis of the vena cava and restenosis of the left common iliac venous stent as it crosses the iliocaval confluence thus causing stenosis of the right common iliac ostium. (C) Digital subtraction angiogram, lateral projection, demonstrating a >90% stenosis of the vena cava (arrow).
Mentions: A CT venogram (Fig. 1A) demonstrated in stent stenosis of the Zilver stent and a narrowing of the proximal right CIV. The plication clip appeared to be reducing the IVC lumen to 2–3 mm in diameter. Digital Subtraction Venography (Fig. 1B and C) confirmed a severe stenosis of the right CIV ostium with a large filling defect in the proximal portion of the CIV stent. Lateral projections revealed a pin hole stenosis of the IVC, approximately 4 cm proximal to the iliocaval confluence, presumably due to the encircling clip.

Bottom Line: This procedure was associated with minimal morbidity and resulted with a quick resolution of the patient's CVI symptoms.Advantages include a shorter hospital stay, and reduced morbidity and mortality when compared to a re-do laparotomy.Endovascular stents may be used safely and effectively to reconstruct the surgically interrupted inferior vena cava in the treatment of chronic venous insufficiency.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular Surgery, Prince of Wales Hospital, Sydney, Australia. Electronic address: shannondthomas@gmail.com.

No MeSH data available.


Related in: MedlinePlus