Ces radiol. 2024, 78(1):12-17 | DOI: 10.55095/CesRadiol2024/002

Iliac vein recanalization in recurrent deep vein thrombosis with chronically occluded stentCase report

Jan Mašek1, Radovan Malý2, Vendelín Chovanec1, Miroslav Lojík1, Pavel Ryška1, Jan Raupach1
1 Radiologická klinika LF UK a FN, Hradec Králové
2 I. interní kardioangiologická klinika LF UK a FN, Hradec Králové

Endovascular treatment is indicated as the method of choice in symptomaticpatients with chronic pelvic venous occlusions.
The case report presents a patient who had a recurrence of iliofemoral deepvein thrombosis 25 years after endovascular therapy for the primary event,when a short stent was inserted in the common iliac vein. Catheter directedthrombolysis was initiated and chronic occlusion of the inserted stent wasdetected. After unsuccessful attempts with standard methods, therecanalization was achieved extraluminally along the occluded stent by placingtwo venous stents in a parallel position.

Keywords: chronic venous occlusion, deep vein thrombosis, May-Thurnersyndrome, recanalization, stent, thrombolysis
Grants and funding:

Výzkum byl podpořen Grantovou agenturou Univerzity Karlovy (SVV UK, projekt LF
HK č. 260657).

Published: March 1, 2024  Show citation

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Mašek J, Malý R, Chovanec V, Lojík M, Ryška P, Raupach J. Iliac vein recanalization in recurrent deep vein thrombosis with chronically occluded stent. Ces radiol. 2024;78(1):12-17. doi: 10.55095/CesRadiol2024/002.
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    References

    1. May R, Thurner J. The Cause of the Predominantly Sinistral Occurrence of Thrombosis of the Pelvic Veins. Angiology 1957; 8(5): 419-427. doi Go to original source... Go to PubMed...
    2. 1177/000331975700800505
    3. Mahnken AH, Thomson K, de Haan M, O'Sullivan GJ. CIRSE standards of practice guidelines on iliocaval stenting. Cardiovasc Intervent Radiol. 2014; 37(4): 889-897. doi: 10.1007/s00270-014-0875-4 Go to original source... Go to PubMed...
    4. Radaideh Q, Patel NM, Shammas NW. Iliac vein compression: epidemiology, diagnosis and treatment. Vasc Health Risk Manag. 2019; 15: 115-122. doi: 10.2147/VHRM.S203349 Go to original source... Go to PubMed...
    5. Williams ZF, Dillavou ED. A systematic review of venous stents for iliac and venacaval occlusive disease. J Vasc Surg Venous Lymphat Disord. 2020; 8(1): 145-153. doi: 10.1016/j.jvsv.2019.08.015 Go to original source... Go to PubMed...
    6. Lichtenberg M, de Graaf R, Stahlhoff WF, Özkapi A, Simon M, Breuckmann F. Patency rates, safety and clinical results of the sinus-Obliquus venous stent in the treatment of chronic ilio-femoral venous outflow obstruction - data from the Arnsberg venous registry. Vasa 2019; 48(3): 270-275. doi: 10.1024/0301--1526/a000772 Go to original source... Go to PubMed...
    7. de Maeseneer MG, Kakkos SK, Aherne T, et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs. Eur J Vasc Endovasc Surg. 2022; 63(2): 184-267. doi: 10.1016/j.ejvs.2021.12.024 Go to original source... Go to PubMed...
    8. Jayaraj A, Crim W, Knight A, Raju S. Characteristics and outcomes of stent occlusion after iliocaval stenting. J Vasc Surg Venous Lymphat Disord. 2019; 7(1): 56-64. doi: 10.1016/j.jvsv.2018.07.013 Go to original source... Go to PubMed...
    9. Smeds MR, Jacobs DL. Treatment of chronic venous stent occlusion with a Wildcat catheter. Vasc Endovascular Surg. 2011; 45(5): 453-456. doi Go to original source... Go to PubMed...
    10. 1177/1538574411408442 9. Schmidt JO, Christensen JK, Houlind KC. Calcified in-stent restenosis in a venous stent. J Vasc Surg Cases 2015; 1(4): 261-263. doi: 10.1016/j.jvsc.2015.07.008
    11. Saleem T, Luke C, Raju S. Percutaneous laser recanalization in chronically occluded iliofemoral venous stents. J Vasc Surg Cases Innov Tech. 2022; 8(3): 399-403. doi: 10.1016/j.jvscit.2022.06.006 Go to original source... Go to PubMed...
    12. Ben Mrad M, Ben Hammamia M, Abdelaziz Emna B, Jalel Z, Faker G, Denguir R. Crush stent technique: A bail out technique to manage occluded iliac stent. J Med Vasc. 2020; 45(1): 18-22. doi:10.1016/j.jdmv.2019.12.003 Go to original source... Go to PubMed...
    13. Azzalini L, Karatasakis A, Spratt JC, et al. Subadventitial stenting around occluded stents: A bailout technique to recanalize in-stent chronic total occlusions. Catheter Cardiovasc Interv. 2018; 92(3): 466-476. doi:10.1002/ccd.27472 Go to original source... Go to PubMed...

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