Endovascular Recanalization for Chronic Left Iliac Vein Occlusion
Paulo Eduardo Ocke Reis1,2*
1Department of Specialized and General Surgery, Fluminense Federal University, Rio de Janeiro, Brazil
2Vascular Clinic Ocke Reis, Rio de Janeiro, Brazil
- *Corresponding Author:
- Paulo Eduardo Ocke Reis
Department of Specialized and General Surgery
Fluminense Federal University, Rio de Janeiro, Brazil
Tel: +55 21 2629-5000
E-mail: [email protected]
Received date: December 24, 2017; Accepted date: December 26, 2017; Published date: December 29, 2017
Citation: Reis PEO (2017) Endovascular Recanalization for Chronic Left Iliac Vein Occlusion. J Vasc Endovasc Surg. 2:36. doi: 10.21767/2573-4482.100069
Endovascular Surgery; Endovascular procedure; Iliac vein; Iliac artery; Venous stent; May-thurner syndrome
May –Thurner challenging case using endovascular procedures to treat chronic left vein occlusion.
Step by step:
1. After bilateral vein femoral access we did phlebography (FIGURE A).
2. Trying to cross the occlusion with special guide wires and micro catheter, pigtail to measure the length of the balloons and
stent (FIGURES B-D).
3. After crossing the lesion we did progressive balloon angioplasty (FIGURES E and F).
4. Stent implantation (FIGURE G).
5. Phlebography showing the final result (FIGURE H) [1-8].
- Ocke Reis PE (2017) New Generation Venous Stent to Treat May-Thurner Syndrome. J Vasc Endovasc Surg 2: 23.
- Cunha Junior JR, Neves DQ, Ocke Reis PE (2011) Tratamento endovascular da síndrome de compressao da veia ilíaca (May- Thurner) – relato de caso. J Vasc Bras 10: 1-5.
- Raju S, Owen S, Neglen P (2002) The clinical impact of iliac venous stents in the management of chronic venous insufficiency. J Vasc Surg 35: 8-15.
- Stuck AK, Kunz S, Baumgartner I (2016) Patency and Clinical Outcomes of a dedicated, self-Expanding, Hybrid Oblique Stent Used in the Treatment of Common Iliac Vein Compression. J Endovasc Ther 1-8.
- Kibbe M, Ujiki M, Goodwin A (2004) Iliac vein compression in an asymptomatic patient population. J Vasc Surg 39: 937-943.
- May R, Thurner J (1957) The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8: 419-427.
- Cockett FB, Thomas ML (1965) The iliac compression syndrome. Br J Surg 52: 816-821.