Abstract
Chronic inferior vena cava (IVC) obstruction can have a range of clinical presentations, from no symptoms, minimal lower extremity edema, and discomfort to more severe manifestations, such as genital varicosities, venous claudication, venous ulceration, and even hepatic or renal insufficiency. Percutaneous stenting of the iliocaval venous segment guided by intravascular ultrasound (IVUS) is presently the method of choice in the treatment of symptomatic chronic venous obstruction at this anatomical site. The endovenous procedure is minimally invasive, with low morbidity, long-term stent patency, a low rate of in-stent stenosis, and limited need for reinterventions. It results in sustained relief of limb symptoms, a high rate of healing of venous leg ulcers, substantial improvement of quality of life, and decreased disability.
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References
Raju S, Hollis K, Neglen P. Obstructive lesions of the inferior vena cava: clinical features and endovenous treatment. J Vasc Surg. 2006;44(4):820–7.
Jost CJ, Gloviczki P, Cherry Jr KJ, 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(2):320–7.
Baxi K, Shah SK, Clair DG. Complete infrahepatic inferior vena cava occlusion presenting as congenital absence. J Vasc Surg. 2011;53(6):1716–9.
Neglen P, Oglesbee M, Olivier J, Raju S. Stenting of chronically obstructed inferior vena cava filters. J Vasc Surg. 2011;54(1):153–61.
Hartung O, Loundou AD, Barthelemy P, Arnoux D, Boufi M, Alimi YS. Endovascular management of chronic disabling ilio-caval obstructive lesions: long-term results. Eur J Vasc Endovasc Surg. 2009;38(1):118–24.
Rosales A, Sandbaek G, Jorgensen JJ. Stenting for chronic post-thrombotic vena cava and iliofemoral venous occlusions: mid-term patency and clinical outcome. Eur J Vasc Endovasc Surg. 2010;40(2):234–40.
Robbins MR, Assi Z, Comerota AJ. Endovascular stenting to treat chronic long-segment inferior vena cava occlusion. J Vasc Surg. 2005;41(1):136–40.
te Riele WW, Overtoom TT, van den Berg JC, van de Pavoordt ED, de Vries JP. Endovascular recanalization of chronic long-segment occlusions of the inferior vena cava: midterm results. J Endovasc Ther. 2006;13(2):249–53.
Comerota AJ, Grewal NK, Thakur S, Assi Z. Endovenectomy of the common femoral vein and intraoperative iliac vein recanalization for chronic iliofemoral venous occlusion. J Vasc Surg. 2010;52(1):243–7.
Vogel D, Comerota AJ, Al-Jabouri M, Assi ZI. Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral obstruction. J Vasc Surg. 2012;55(1):129–35.
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Fayad, Z., Comerota, A.J. (2014). Chronic Bilateral Iliofemoral and Vena Caval Postthrombotic Occlusion. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_87
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DOI: https://doi.org/10.1007/978-1-4614-7312-1_87
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