Hybrid intervention for treatment of the nutcracker syndrome

Jayaraj, Arjun; Gloviczki, Péter; Peeran, Syed; Canton, Linda G.

doi:10.1016/j.jvsc.2015.08.005

Cited by 14 publications

(4 citation statements)

References 10 publications

(13 reference statements)

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“…Given that this technique has recently become the "gold standard" for identification of other venous compression syndromes because of its high sensitivity and ability to provide intraluminal measurements and characteristics, [22][23][24] IVUS has been increasingly employed to help identify LRV compression. 2,3,25 Specifically, IVUS may play a critical role in detecting nutcracker physiology in patients such as ours, in whom venography revealed a normal renocaval pressure gradient. Although there are no formal IVUS criteria established for NCS, IVUS has been effectively used to identify planar LRV compression that is unappreciable on twodimensional imaging and to visualize intraluminal webs and spurs.…”

Section: Discussionmentioning

confidence: 92%

“…2 More recently, intravascular ultrasound (IVUS) has emerged as an important adjunct for diagnosis of venous outflow obstruction, particularly in cases in which renocaval pressure gradients are equivocal. 3,4 Duplicated inferior vena cava (IVC) is a congenital venous abnormality that occurs in 0.2% to 3.0% of the population and arises from persistence of the left and right supracardinal veins. 5 This anomaly not only can place individuals at increased risk for vascular complications but also can have an impact on surgical and technical decision-making.…”

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confidence: 99%

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Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Sharma

Menard

2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Nutcracker syndrome is a rare vascular disorder that involves compression of the left renal vein (LRV), most often at the level of the aortomesenteric angle. In some cases, this compression syndrome arises in the setting of unusual vascular anatomic variants. We describe the case of a 43-year-old woman with a duplicated inferior vena cava who was found to have LRV compression on magnetic resonance angiography and venography with intravascular ultrasound. The patient was successfully treated with concurrent transposition of the LRV and left-sided inferior vena cava, with complete resolution of symptoms. (J Vasc Surg Cases and Innovative Techniques 2020;6:121-5.)

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Section: Discussionmentioning

confidence: 92%

mentioning

confidence: 99%

Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Sharma

Menard

2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…One of the major achievements of the endovascular revolution has been the introduction of venous stents to recanalize the chronically obstructed iliofemoral veins (▶ Fig. 5 20, on removal of malfunctioning Wallstents (Boston Scientific, Natick, Mass) without venotomy (21), on the hybrid technique of iliofemoral vein reconstruction (8,22), and hybrid reconstruction of the left renal vein in patients with Nutcracker syndrome (23).…”

Section: Endovascular Reconstruction Of Iliofemoral Veins and The Infmentioning

confidence: 99%

Large vein reconstructions in the endovascular era

Gloviczki¹

2017

Phlebologie

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21Ratschow-Medaille 2016 Max RatschowI am humbled to be associated with a giant in the field of angiology (▶ Fig. 1). With his textbooks "Die Peripheren Durchblutungsstörungen" (1), "Angiologia" (2) and over 100 publications, Max Ratschow laid the groundwork for evaluation and treatment of peripheral arterial diseases. As director of a premier clinic for angiology in Darmstadt he played a pivotal role in gaining recognition to the discipline of angiology. As Honorary Professor of the University of Heidelberg, he was recognized and respected well beyond Germany, he was a SummaryMax Ratschow was a remarkable physician and an international authority in the field of angiology and the Ratschow lectureship helps to fulfill this pioneer's life purpose: to advance evaluation and treatment of vascular diseases. The 2017 Max Ratschow lecture covers some recent advances and controversies in venous diseases. Phlebology, once a neglected field of angiology, is a discipline that has been in constant progress during the past decades. Endovascular techniques revolutionized treatment of patients with large vein obstruction and provided safe, minimally invasive procedures with excellent long term results. Attention now need to focus on comparative studies to provide scientific evidence of efficacy of venous angioplasty and stenting with properly organized randomized controlled trials. Further attempts are needed to develop special venous stents and to decrease thrombotic complications and formation of pseudointima that cause in-stent restenosis. Open and hybrid reconstructions are safe and durable, but the number of procedures in general is small and special training and expertise for reconstructive venous surgery is recommended. Autologous vein should be used for infrainguinal reconstructions and for treatment of unilateral iliac vein obstruction with a femoro-femoral cross-over bypass (Palma procedure). IVC and iliac vein reconstructions with ePTFE grafts provide superb result in patients who need excision of malignant tumors invading large veins. Open and hybrid reconstructions are here to stay and they remain excellent options for those patients who are unsuitable for or fail endovascular repair. SchlüsselwörterVenenrekonstruktion, endovaskuläre Techniken, Venenchirurgie ZusammenfassungMax Ratschow war ein bemerkenswerter Arzt und eine internationale Autorität im Bereich der Angiologie. Die Ratschow-Vorlesung führt das Lebenswerk dieses Pioniers weiter: die Untersuchung und Behandlung vaskulärer Erkrankungen voran zu bringen. Die Max Ratschow-

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“…This approach offers superior visualization of cross-sectional detail and assessment of venous stenosis (36). IVUS can also be used to optimize stent deployment and assess post-stenting treatment success (37).…”

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confidence: 99%

Minimally invasive treatments for venous compression syndromes

Hulsberg

McLoney

Partovi

et al. 2016

Cardiovasc. Diagn. Ther.

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The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods.We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment.

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Hybrid intervention for treatment of the nutcracker syndrome

Cited by 14 publications

References 10 publications

Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Large vein reconstructions in the endovascular era

Minimally invasive treatments for venous compression syndromes

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