Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease

Jost, Corey J.; Gloviczki, Péter; Cherry, Kenneth J.; McKusick, Michael A.; Harmsen, William S.; Jenkins, G. Douglas; Bower, Thomas C.

doi:10.1067/mva.2001.112805

Cited by 167 publications

(124 citation statements)

References 26 publications

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“…A temporary arteriovenous fistula is often placed to improve flow and to aid patency. While clinical improvement is often achieved, long-term patency is quite poor with a secondary patency rate of 83 % at 48 months for autologous vein and 0 % in PTFE conduits [12]. Orthotopic iliac or iliocaval reconstruction can be performed for either unilateral venous occlusion when autologous conduit is not available or bilateral iliocaval, or inferior vena cava occlusion (IVC).…”

Section: Rationale Of Iliocaval Stentingmentioning

confidence: 99%

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CIRSE Standards of Practice Guidelines on Iliocaval Stenting

Mahnken

Thomson

Haan

et al. 2014

Cardiovasc Intervent Radiol

107

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Chronic venous insufficiency (CVI) as an advanced stage of chronic venous disease is a common problem that occurs in approximately 1-5 % of the adult population. CVI has either a nonthrombotic (primary) or postthrombotic (secondary) cause involving reflux, obstruction, or a combination of both. The role of venous obstruction is increasingly recognized as a major cause of CVI, with obstructive lesions in the iliocaval segment being markedly more relevant than lesions at the levels of the crural and femoral veins. Approximately 70-80 % of iliac veins develop a variable degree of obstruction fol-

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Section: Rationale Of Iliocaval Stentingmentioning

confidence: 99%

“…Secondary Patency is defined whenever maintenance of patency required a secondary intervention at the target lesion [12].…”

Section: Definitionsmentioning

confidence: 99%

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CIRSE Standards of Practice Guidelines on Iliocaval Stenting

Mahnken

Thomson

Haan

et al. 2014

Cardiovasc Intervent Radiol

107

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“…7 Surgical interventions including thrombectomy, bypass, reconstruction/replacement and interruption/ligation are used infrequently owing to inherent morbidity and mortality. [84][85][86] Thrombectomy may be indicated for acute or septic IVC thrombosis and PCD but these procedures are less commonly performed because of high rates of re-thrombosis. 7 Such procedures are typically completed in conjunction with a distal arteriovenous (AV) fistula to maintain high flow.…”

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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“…Jost et al [218] reported that venous reconstructions for iliofemoral or IVC obstruction offered 3-year patency rates of 62%. Puggioni et al [219] have performed surgical reconstitution of postthrombotic deep veins with endophlebectomy of 23 deep venous segments in 13 patients with advanced PTS.…”

Section: Recommendationmentioning

confidence: 99%