Abstract
Endovascular treatment has emerged as a first-line treatment for venous occlusions, but is sometimes challenging with conventional approaches. This article describes a helpful technique using a Rösch–Uchida needle to cross a chronic occlusion of the iliac vein when conventional techniques have failed.
This is a preview of subscription content, log in via an institution to check access.
References
Meissner MH, Moneta G, Burnard K, Gloviczki P, Lohr JM et al (2007) The hemodynamics and diagnoses of venous disease. J Vasc Surg 46(Suppl S):4S–24S
May R, Thurner J (1957) The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427
Titus JM, Moise MA, Bena J, Lyden SP, Clair DG (2100) Iliofemoral stenting for venous occlusive disease. J Vasc Surg 53(3):706–712
Moudgill N, Hager E, Gonsalves C, Larson R, Lombardi J et al (2009) May-Thurner syndrome: case report and review of the literature involving modern endovascular therapy. Vascular 17(6):330–335
Gupta H, Murphy TP, Soares GM (1998) Use of a puncture needle for recanalizaion of an occluded right subclavian vein. Cardiovasc Interv Radiol 21(6):508–511
Ferral H, Bjarnason H, Wholey M, Lopera J, Maynar M, Castaneda-Zuniga WR (1996) Recanalization of occluded veins to provide access for central catheter placement. J Vasc Interv Radiol 7(5):681–685
Honnef D, Wingen M, Günter RW, Haage P (2005) Sharp central venous recanalization by means of a TIPS needle. Cardiovasc Interv Radiol 28(5):673–676
Goo DE, Kim YJ, Choi DL, Park SI, Yang SB, Moon C et al (2010) Use of a Rosch–Uchida needle for recanalization of refractory dialysis-related central vein occlusion. Am J Roentgenol 194(5):1352–1356
Porter D, Rundback JH, Miller S (2010) Sharp recanalization using a subintimal reentry device, angioplasty, and stent placement for severely symptomatic iliofemoral deep venous thrombosis secondary to congenital aplasia of the inferior vena cava. J Vasc Interv Radiol 21(11):1765–1769
Hartung O, Loundou AD, Barthelemy P, Arnoux D, Boufi M, Alimi YS (2009) Endovascular management of chronic disabling ilio-caval obstructive lesions: long-term results. Eur J Vasc Endovasc Surg 38(1):119–124
Conflict of interest
The authors, Nobutake Ito, Peter Isfort, Tobias Penzkofer, Jochen Grommes, Andreas Greiner and Andreas Mahnken, declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ito, N., Isfort, P., Penzkofer, T. et al. Sharp Recanalization for Chronic Left Iliac Vein Occlusion. Cardiovasc Intervent Radiol 35, 938–941 (2012). https://doi.org/10.1007/s00270-012-0346-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-012-0346-8