Intravascular ultrasound diagnosis of a venous obstruction not visualized by conventional venography: A case report

Byun, Eugene; Mayeda, Guy S.

doi:10.1002/ccd.10278

Cited by 4 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intravascular ultrasound has been suggested as the modality of choice for evaluation of luminal diameter of iliac vein [171819]. Because of the ability to perform exact measurements of the venous dimensions with intravascular ultrasound, it can assist in the diagnosis and classification of iliac vein compression syndrome.…”

Section: Discussionmentioning

confidence: 99%

Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity

Paik

Joh

2017

Ann Surg Treat Res

View full text Add to dashboard Cite

PurposeIliac vein compression is a known culprit of deep vein thrombosis (DVT). In contrast, the compression may prevent the pulmonary embolism (PE). The aim of this study was to evaluate the anatomic and clinical risk factors of PE in patients with lower extremity DVT.MethodsPE was evaluated using chest computed tomography in patients with lower extremity DVT. The patients were classified into group I (DVT without PE) and group II (DVT with PE) and analyzed to clarify the anatomic and clinical risk factors associated with PE in patients with DVT. As the anatomic factor, the shortest length between the common iliac artery (CIA) and spinal body (SB) was measured. Statistical analyses utilized the multivariable logistic regression model, and receiver operating characteristic (ROC) curve analysis.ResultsWe examined 114 patients (age; 62.7 ± 16.9 years, 41.7% men) with DVT with/without PE. The prevalence of concurrent DVT with PE was 52.6%. Blood tests showed no difference between the 2 groups. Of all the assessed patients' characteristics, only infection was significantly and independently associated with PE (P = 0.04). The shortest length between CIA and SB was 6.7 ± 3.5 mm in group I and 11.3 ± 3.7 mm in group II (P < 0.001). ROC curve analysis showed that 7.6 mm was the cut-off value for the anatomic risk of PE.ConclusionInfection was significantly associated with concurrent DVT and PE. The shortest length between CIA and SB (<7.6 mm) may prevent PE in patients with DVT.

show abstract

Section: Discussionmentioning

confidence: 99%

Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity

Paik

Joh

2017

Ann Surg Treat Res

View full text Add to dashboard Cite

show abstract

“…Therefore, the use of TEE is most beneficial in cases where the stenosis extends to the atrium, although it is not always possible to know this preoperatively. Intravascular ultrasound has been described in the management of SVC syndrome and other obstructed veins 14,15 and is a useful adjunct for sizing stents and assessing the length of stenosis. 16,17 Transesophageal echocardiography is advantageous as it provides imaging as the stent is deployed.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review

Sun

Batra

Markin

et al. 2017

Vasc Endovascular Surg

View full text Add to dashboard Cite

Obstruction of the superior vena cava (SVC) is an uncommon, but potentially life-threatening condition due to likely development of edema in the head and neck and potential respiratory compromise. Less than half of those affected by SVC syndrome survive more than a year. Obstruction can be from neoplasms or secondary to benign disease. Treatment for most cases of symptomatic SVC syndrome involves placement of a stent to relieve the stenosis. Serious complications such as stent migration, pulmonary embolism, and cardiac tamponade can occur in 5% to 10% of cases, and inadequate imaging of the SVC-atrial junction by fluoroscopy contributes to these problems. The overlapping contrast in the atrium makes it difficult to precisely place the distal end of the stent, potentially allowing for embolization of the stent to occur. We present a case series of 3 patients wherein transesophageal echocardiography was used for guidance of stent placement in the SVC and significantly aided in placement.

show abstract

Comparison of Intravascular Ultrasound with Conventional Venography for Detection of Extracranial Venous Abnormalities Indicative of Chronic Cerebrospinal Venous Insufficiency

Karmon

Zivadinov

Weinstock‐Guttman

et al. 2013

Journal of Vascular and Interventional Radiology

View full text Add to dashboard Cite

Intravascular ultrasound diagnosis of a venous obstruction not visualized by conventional venography: A case report

Cited by 4 publications

References 14 publications

Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity

Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity

Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review

Comparison of Intravascular Ultrasound with Conventional Venography for Detection of Extracranial Venous Abnormalities Indicative of Chronic Cerebrospinal Venous Insufficiency

Contact Info

Product

Resources

About