Chronically Occluded Inferior Venae Cavae: Endovascular Treatment

Razavi, Mahmood K.; Hansch, Ernst; Kee, Stephen T.; Sze, Daniel Y.; Semba, Charles P.; Dake, Michael D.

doi:10.1148/radiology.214.1.r00ja33133

Cited by 94 publications

(60 citation statements)

References 28 publications

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“…Stents have the potential to improve patency in large veins by preventing recoil and allowing sufficient flow to maintain patency. The literature supports stenting and angioplasty in the IVC with improvement of symptoms and good patency (40). When chronic IVC obstruction cannot be recanalized via endovascular means, stenting to collateral drainage, possibly to the ascending lumbar vein, has been advocated with improvement in symptoms and good patency.…”

Section: Chronic Thrombosismentioning

confidence: 96%

Catheter directed interventions for inferior vena cava thrombosis

Golowa¹,

Warhit²,

Matsunaga³

et al. 2016

Cardiovasc. Diagn. Ther.

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Inferior vena cava (IVC) thrombosis, although similar in many aspects to deep venous thrombosis (DVT), has distinct clinical implications, treatments and roles for endovascular management. Etiologies of IVC thrombosis vary from congenital malformations of the IVC to acquired, where indwelling IVC filters have been implicated as a leading cause. With an increasing incidence of IVC thrombosis throughout the United States, clinicians need to be educated on the clinical signs and diagnostic tools available to aid in the diagnosis as well as available treatment options. Untreated IVC thrombus can result in serious morbidity and mortality, both in the acute phase with symptoms related to venous outflow occlusion and embolism, and in the long-term, sequelae of post-thrombotic syndrome (PTS) related to chronic venous occlusion. This manuscript will discuss the clinical presentation of IVC thrombosis, diagnostic and treatment options, as well as the role of endovascular management.

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Section: Chronic Thrombosismentioning

confidence: 96%

Catheter directed interventions for inferior vena cava thrombosis

Golowa¹,

Warhit²,

Matsunaga³

et al. 2016

Cardiovasc. Diagn. Ther.

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“…89 Stent insertion can improve the outcome of endoluminal interventions by preventing recoil therefore maintaining a large venous conduit to promote patency. 90 In patients with an unresectable underlying malignancy, treatments are commonly palliative. However, endoluminal treatment can relieve profound IVC obstructive/thrombotic symptoms, avoiding distressing and debilitating lower limb symptoms.…”

Section: Acute Ivc Thrombosis Treatmentmentioning

confidence: 99%

Inferior vena cava thrombosis: A review of current practice

et al. 2013

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Inferior vena cava (IVC) thrombosis remains under-recognised as it is often not pursued as a primary diagnosis. The aetiology of IVC thrombosis can be divided into congenital versus acquired, with all aetiological factors found among Virchow's triad of stasis, injury and hypercoagulability. Signs and symptoms are related to aetiology and range from no symptoms to cardiovascular collapse. Painful lower limb swelling combined with lower back pain, pyrexia, dilatation of cutaneous abdominal wall veins and a concurrent rise in inflammatory markers are suggestive of IVC thrombosis. Following initial lower limb venous duplex, magnetic resonance imaging (MRI) is the optimal non-invasive imaging tool. Aetiology directs treatment, which ranges from anticoagulation and lower limb compression to open surgery, with endovascular therapies increasingly favoured. The objective of this review is to assess current literature on the aetiology, presentation, investigation, treatment, prognosis and other factors pertaining to IVC thrombosis.

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“…Most experience has been gained with Wallstents (Boston Scientific, Hemel Hempstead, Herts, UK) which are self expanding stents with a good radial strength. Studies have also shown the efficacy and durability of stents in the IVC (Ing et al, 2001;Razavi et al, 2000).…”

Section: Venoplasty and Stentingmentioning

confidence: 99%