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Venous Intervention

  • Andrew B. McCannEmail author
  • Robert M. Schainfeld
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

A variety of pathologies may result in thrombotic and non-thrombotic occlusion of the central and peripheral veins, leading to important sequelae including post-thrombotic syndrome and loss of future venous access sites for the patient. This chapter will review the role of endovascular therapies on management of venous thromboembolism and non-thrombotic obstructive diseases of the venous system. We will discuss the role of catheter-directed thrombolysis, percutaneous mechanical thrombectomy and venous stenting techniques with emphasis on iliofemoral deep vein thrombosis (DVT), inferior vena cava (IVC) obstruction, IVC filters, axillo-subclavian DVT, and superior vena cava syndrome.

Keywords

Deep Venous Thrombosis Inferior Vena Cava Superior Vena Cava Inferior Vena Cava Filter Superior Vena Cava Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Theiss W, Wirtzfeld A, Fink U, Maubach P. The success rate of fibrinolytic therapy in fresh and old thrombosis of the iliac and femoral veins. Angiology. 1983;34(1):61–69.PubMedCrossRefGoogle Scholar
  2. 2.
    Mewissen MW, Seabrook GR, Meissner MH, Cynamon J, Labropoulos N, Haughton SH. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology. 1999;211(1):39–49.PubMedGoogle Scholar
  3. 3.
    Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133(6 Suppl):454 S–545 S.PubMedCrossRefGoogle Scholar
  4. 4.
    Greenberg RK, Ouriel K, Srivastava S, et al. Mechanical versus chemical thrombolysis: an in vitro differentiation of thrombolytic mechanisms. J Vasc Interv Radiol. 2000;11(2Pt1):199–205.Google Scholar
  5. 5.
    Heit JA, Cohen AT, Anderson FJ. Estimated annual number of incident and recurrent, non-fatal venous thromboembolism (VTE) in the US. Blood. 2005;106:267A.Google Scholar
  6. 6.
    Prandoni P, Lensing AW, Prins MR. Long-term outcomes after deep venous thrombosis of the lower extremities. Vasc Med. 1998;3(1):57–60.PubMedGoogle Scholar
  7. 7.
    Akesson H, Brudin L, Dahlstrom JA, Eklof B, Ohlin P, Plate G. Venous function assessed during a 5 year period after acute ilio-femoral venous thrombosis treated with anticoagulation. Eur J Vasc Surg. 1990;4(1):43–48.PubMedCrossRefGoogle Scholar
  8. 8.
    Juhan C, Cornillon B, Tobiana F, Schlama S, Barthelemy P, Denjean-Massia JP. Patency after iliofemoral and iliocaval venous thrombectomy. Ann Vasc Surg. 1987;1(5):529–533.PubMedCrossRefGoogle Scholar
  9. 9.
    Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004;39(5):937.PubMedCrossRefGoogle Scholar
  10. 10.
    Mickley V, Schwagierek R, Rilinger N, Gorich J, Sunder-Plassmann L. Left iliac venous thrombosis caused by venous spur: treatment with thrombectomy and stent implantation. J Vasc Surg. 1998;28(3):492–497.PubMedCrossRefGoogle Scholar
  11. 11.
    Neglén, P, Hollis, KC, Olivier, J, Raju, S. Stenting of the venous outfow in chronic venous disease: Long-term stent-related outcome, clinical, and hemodynamic result. J Vasc Surg. 2007;46:979–990.PubMedCrossRefGoogle Scholar
  12. 12.
    Radomski JS, Jarrell BE, Carabasi RA, Yang SL, Koolpe H. Risk of pulmonary embolus with inferior vena cava thrombosis. Am Surg. 1987;53(2):97–101.PubMedGoogle Scholar
  13. 13.
    Raju S, Hollis K, Neglen P. Obstructive lesions of the inferior vena cava: clinical features and endovenous treatment. J Vasc Surg. 2006;44(4):820–827.PubMedCrossRefGoogle Scholar
  14. 14.
    Neglen P, Nazzal MM, al-Hassan HK, Christenson JT, Eklof B. Surgical removal of an inferior vena cava thrombus. Eur J Vasc Surg. 1992;6(1):78–82.PubMedCrossRefGoogle Scholar
  15. 15.
    Meissner AJ, Huszcza S. Surgical strategy for management of deep venous thrombosis of the lower extremities. World J Surg. 1996;20(9):1149–1155.PubMedCrossRefGoogle Scholar
  16. 16.
    Amador E, Li TK, Crane C. Ligation of inferior vena cava for thromboembolism. Clinical and autopsy correlations in 119 cases. JAMA. 1968;206(8):1758–1760.Google Scholar
  17. 17.
    Miles RM. Prevention of pulmonary embolism by the use of a plastic vena caval clip. Ann Surg. 1966;163(2):192–198.PubMedCrossRefGoogle Scholar
  18. 18.
    Moretz WH, Rhode CM, Shepherd MH. Prevention of pulmonary emboli by partial occlusion of the inferior vena cava. Am Surg. 1959;25:617–626.PubMedGoogle Scholar
  19. 19.
    Mobin-Uddin K, Callard GM, Bolooki H, Rubinson R, Michie D, Jude JR. Transvenous caval interruption with umbrella filter. N Engl J Med. 1972;286(2):55–58.PubMedCrossRefGoogle Scholar
  20. 20.
    Greenfield LJ, McCrudy JR, Brown PP,Elkins RC. A vena cava filter for the prevention of pulmonary embolus. Surgery. 1973:599–605.Google Scholar
  21. 21.
    Rectenwald JE. Vena cava filters: uses and abuses. Semin Vasc Surg. 2005;18:166–175.PubMedCrossRefGoogle Scholar
  22. 22.
    Kinney TB. Update on inferior vena cava filters. J Vasc Interv Radiol. 2003;(4):425–440.Google Scholar
  23. 23.
    Decousus H, Leizorovicz A, Parent F, et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med. 1998;338(7):409–415.PubMedCrossRefGoogle Scholar
  24. 24.
    Eight-year follow-up of patients with permanent vena cava filters in the prevention of pulmonary embolism: the PREPIC (Prevention du Risque d’Embolie Pulmonaire par Interruption Cave) randomized study. Circulation. 2005;112(3):416–422.Google Scholar
  25. 25.
    Yamagami T, Yoshimatsu R, Matsumoto T, Nishimura T. Prophylactic implantation of inferior vena cava filter during endovascular therapies for deep venous thrombosis of the lower extremity: is it necessary? Acta Radiol. 2008;49(4):391–397.PubMedCrossRefGoogle Scholar
  26. 26.
    Reed RA, Teitelbaum GP, Taylor FC, Pentecost MJ, Roehm JO. Use of the bird’s nest filter in oversized inferior venae cavae. J Vasc Interv Radiol. 1991;2(4):447–450.PubMedCrossRefGoogle Scholar
  27. 27.
    Athanasoulis CA, Kaufman JA, Halpern EF, Waltman AC, Geller SC, Fan CM. Inferior vena caval filters: review of a 26-year single-center clinical experience. Radiology. 2000;216(1):54–66.PubMedGoogle Scholar
  28. 28.
    Passman MA, Dattilo JB, Guzman RJ, Naslund TC. Bedside placement of inferior vena cava filters by using transabdominal duplex ultrasonography and intravascular ultrasound imaging. J Vasc Surg. 2005;42(5):1027–1032.PubMedCrossRefGoogle Scholar
  29. 29.
    Grassi CJ, Swan TL, Cardella JF, et al. Quality improvement guidelines for percutaneous permanent inferior vena cava filter placement for the prevention of pulmonary embolism. J Vasc Interv Radiol. 2003;14(9Pt2):S271–S275.Google Scholar
  30. 30.
    Kalva SP, Chlapoutaki C, Wicky S, Greenfield AJ, Waltman AC, Athanasoulis CA. Suprarenal inferior vena cava filters: a 20-year single-center experience. J Vasc Interv Radiol. 2008;19(7):1041–1047.PubMedCrossRefGoogle Scholar
  31. 31.
    Sharafuddin MJ, Sun S, Hoballah JJ. Endovascular management of venous thrombotic diseases of the upper torso and extremities. J Vasc Interv Radiol. 2002;13(10):975–990.PubMedCrossRefGoogle Scholar
  32. 32.
    Greenfield LJ, Proctor MC. Supra-renal filter placement. J Vasc Surg. 1998;28:432–438.PubMedCrossRefGoogle Scholar
  33. 33.
    Matchett WJ, Jones MP, McFarland DR, Ferris EJ. Suprarenal caval filter placement: Follow-up of four filter types in 22 patients. J Vasc Inter Radiol. 1998;9:588–593.CrossRefGoogle Scholar
  34. 34.
    Owe EJ, Schoettle GJ, Harrington OB. Placement of a Greenfiled filter in the superior vena cava. Ann Thorac Surg. 1992;53:896–897.CrossRefGoogle Scholar
  35. 35.
    Usoh F, Hingorani A, Ascher E, et al. Long-term follow-up for superior vena cava filter placement. Ann Vasc Surg. 2009;23(3):350–354.PubMedCrossRefGoogle Scholar
  36. 36.
    Millward SF, Oliva VL, Bell SD, et al. Gunther tulip retrievable vena cava filter: results from the Registry of the Canadian Interventional Radiology Association. J Vasc Interv Radiol. 2001;12(9):1053–1058.PubMedCrossRefGoogle Scholar
  37. 37.
    Binkert CA, Bansal A, Gates JD. Inferior vena cava filter removal after 317-day implantation. J Vasc Interv Radiol. 2005;16(3):395-398.PubMedGoogle Scholar
  38. 38.
    Stavropoulos SW, Solomon JA, Trerotola SO. Wall-embedded recovery inferior vena cava filters: imaging features and technique for removal. J Vasc Interv Radiol. 2006;17(2Pt1):379–382.Google Scholar
  39. 39.
    Joffe HV, Kucher N, Tapson VF, Goldhaber SZ. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation. 2004;110(12):1605–1611.PubMedCrossRefGoogle Scholar
  40. 40.
    Lee JT, Karwowski JK, Harris EJ, Haukoos JS, Olcott Ct. Long-term thrombotic recurrence after nonoperative management of Paget-Schroetter syndrome. J Vasc Surg. 2006;43(6):1236–1243.PubMedCrossRefGoogle Scholar
  41. 41.
    Sevestre MA, Kalka C, Irwin WT, Ahari HK, Schainfeld RM. Paget-Schroetter syndrome: what to do? Catheter Cardiovasc Interv. 2003;59(1):71–76.PubMedCrossRefGoogle Scholar
  42. 42.
    Machleder HI. Evaluation of a new treatment strategy for Paget-Schroetter syndrome: spontaneous thrombosis of the axillary-subclavian vein. J Vasc Surg. 1993;17:305–315.PubMedCrossRefGoogle Scholar
  43. 43.
    Urschel HC, Patel AM. Surgery remains the most effective treatment forGoogle Scholar
  44. 44.
    Paget-Schroetter syndrome: 50 years’ experience. Ann Thorac Surg. 2008;86:254–260.Google Scholar
  45. 45.
    Rice TW, Rodriguez RM, Light RW. The superior vena cava syndrome: clinical characteristics and evolving etiology. Medicine. 2006;85(1):37–42.PubMedCrossRefGoogle Scholar
  46. 46.
    Lin J, Zhou KR, Chen ZW, Wang JH, Yan ZP, Wang YX. Vena cava 3D contrast-enhanced MR venography: a pictorial review. Cardiovasc Intervent Radiol. 2005;28(6):795–805.PubMedCrossRefGoogle Scholar
  47. 47.
    Alimi YS, Gloviczki P, Vrtiska TJ, et al. Reconstruction of the superior vena cava: benefits of postoperative surveillance and secondary endovascular interventions. J Vasc Surg. 1998;27(2):287–299.PubMedCrossRefGoogle Scholar
  48. 48.
    Kalra M, Gloviczki P, Andrews JC, et al. Open surgical and endovascular treatment of superior vena cava syndrome caused by nonmalignant disease. J Vasc Surg. 2003;38(2):215–223.PubMedCrossRefGoogle Scholar
  49. 49.
    Bornak A, Wicky S, Ris HB, Probst H, Milesi I, Corpataux JM. Endovascular treatment of stenoses in the superior vena cava syndrome caused by non-tumoral lesions. Eur Radiol. 2003;13(5):950–956.PubMedGoogle Scholar
  50. 50.
    Rizvi AZ, Kalra M, Bjarnason H, et al., Benign superior vena cava syndrome: stenting is now the first line of treatment. J Vasc Surg. 2008;47:372–380.PubMedCrossRefGoogle Scholar
  51. 51.
    Nagata T, Makutani S, Uchida H, et al. Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava. Cardiovasc Intervent Radiol. 2007;30:959–967.PubMedCrossRefGoogle Scholar
  52. 52.
    Slonim SM, Semba CP, Sze DY, Dake MD. Placement of SVC stents over pacemaker wires for the treatment of SVC syndrome. J Vasc Interv Radiol. 2000;11(2Pt1):215–219.Google Scholar
  53. 53.
    Ganeshan A, Quen Hon L, Warakaulle DR, Morgan R, Uberoi R. Superior vena caval stenting for SVC obstruction: Current status. Eur J Radiol. 2009;71(2):343–349. Epub 2008 Jun 12. Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Vascular MedicinePrincess Alexandra HospitalBrisbaneAustralia
  2. 2.Division of Cardiology, Vascular Medicine SectionHarvard Medical School, Massachusetts General HospitalBostonUSA

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