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Ivc stenting

Taeshik Park, Sang Ho Park, Alok Arora
A 36-year-old male presented with progressive exertional dyspnea over months. Physical examination showed jugular venous distension, lung crecipitations, femoral bruit and pitting pedal edema. Echocardiogram showed a dilated right ventricle with severe pulmonary hypertension and a non collapsing inferior vena cava (IVC). On right heart catheterization, IVC oxygen saturation was noted at 92% suggesting arterial mixing; a computed tomography of the abdomen showed a fistula between the right common iliac artery to the right common iliac vein at L4 level and a massive IVC; this was linked to trauma from a disectomy done 16 years ago at L4-L5 level...
December 2016: Journal of Korean Medical Science
Joseph T Poterucha, Nathaniel W Taggart, Jonathan N Johnson, Bryan C Cannon, Allison K Cabalka, Donald J Hagler, Joseph A Dearani, Frank Cetta
OBJECTIVES: To report our experience with intravascular and hybrid intra-operative stent placement for baffle obstruction in patients with complete transposition of the great arteries (TGA) after the atrial switch (Mustard/Senning) operation. BACKGROUND: Venous baffle obstruction is a challenging complication after atrial switch operation in patients with TGA. Traditional treatment options include intravascular stenting or surgery. METHODS: A retrospective analysis of Mayo Clinic's electronic medical record was completed to identify consecutive pediatric and adult patients with TGA after atrial switch who underwent baffle stent implantation from 1994 to 2015...
October 27, 2016: Catheterization and Cardiovascular Interventions
K Ye, X Lu, W Li, M Yin, X Liu, J Qin, G Liu, M Jiang
OBJECTIVE: To evaluate the technical aspects and short-term clinical results of stent placement for chronic occlusion of a filter-bearing inferior vena cava (IVC) in patients with severe post-thrombotic syndrome (PTS). METHODS: A retrospective analysis of 24 patients with severe PTS associated with occlusion of a filter-bearing IVC treated by stent placement was conducted at a single institution from January 2010 to December 2014. Patient-reported quality of life and limb Villalta scores were evaluated before and after treatment by questionnaire and clinical examination, respectively...
December 2016: European Journal of Vascular and Endovascular Surgery
Maurizio Taramasso, Azeem Latib, Paolo Denti, Fabian Nietlispach, Kevin Lynn, Nikola Cesarovic, Alessandro Addis, Maximilian Y Emmert, Andrea Guidotti, Hugo Vanermen, Francesco Maisano
AIMS: The aim of this study was to evaluate the safety, technical feasibility and performance of a new trans-catheter tricuspid repair system. METHODS AND RESULTS: Thirty-one adult swine underwent implantation of a transcatheter tricuspid remodelling system under general anaesthesia. The steerable transcatheter device was introduced through a 24 Fr femoral sheath into the right femoral vein and delivered to the tricuspid annulus on the beating heart. A fixation element was implanted into the tricuspid annulus...
September 18, 2016: EuroIntervention
Efthymios D Avgerinos, Omar El-Shazly, Geetha Jeyabalan, George Al-Khoury, Eric Hager, Michael J Singh, Michel S Makaroun, Rabih A Chaer
BACKGROUND: Inferior vena cava (IVC) thrombosis may occur in patients with iliofemoral deep venous thrombosis (DVT), and its impact on thrombolysis outcomes is poorly defined. This study compared outcomes of patients undergoing thrombolysis for acute iliofemoral DVT with and without IVC involvement. METHODS: Patients who underwent thrombolysis for iliofemoral DVT between May 2007 and March 2014 were identified from a prospectively maintained database and divided into two groups: those with IVC involvement and those without...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Chao Zhang, Yongquan Gu, Ce Bian, Guangchang Zhu, Tao Luo, Chao Yan, Zhonggao Wang
Budd-Chiari syndrome (BCS) is a rare hepatic disease caused by occlusion of the hepatic venous outflow at any level from the small hepatic veins to the atrio-cava junction. BCS could have serious consequences if not treated promptly. The appropriate therapeutic strategy can be offered to change the natural course of the disease. The present case reports a young man with BCS who was successfully received the hybrid treatment combined with endovascular intervention and mesocaval shunt by step. The 11-year follow-up showed that the patient was free of clinical symptoms, CT and ultrasonography confirmed the patency of the stent and shunt...
August 20, 2016: Annals of Vascular Surgery
Allison R Schulman, Marvin Ryou, Hiro Aihara, Wasif Abidi, Austin Chiang, Pichamol Jirapinyo, Ayman Sakr, Eduarda Ajeje, Michele B Ryan, Christopher C Thompson
BACKGROUND AND AIMS: Transjugular intrahepatic portosystemic shunting involves the creation of a low-resistance channel between the portal vein (PV) and the hepatic vein (HV), and is routinely performed under angiography. The aims were to evaluate (1) safety and technical feasibility; (2) procedural duration; and (3) subjective workload assessment of EUS-guided intrahepatic portosystemic shunt (EIPS). METHODS: Five Yorkshire pigs were used in the study. The HV or inferior vena cava (IVC) was identified using a linear-array echoendoscope and accessed with a 19-G FNA needle preloaded with a digital pressure wire...
July 26, 2016: Gastrointestinal Endoscopy
Sudhakar Satti, Jennifer Chen, Thinesh Sivapatham, Mahesh Jayaraman, Darren Orbach
OBJECTIVE: Given recent strongly positive randomized controlled adult mechanical thrombectomy trials, we sought to perform a comprehensive review of available literature on IA pediatric stroke intervention, with a focus on modern mechanical devices. METHODS: PubMed search for pediatric patients undergoing IA treatment of acute ischemic stroke (AIS) using modern devices between 2008 and 2015. 29 patients were included in this analysis. RESULTS: Average age was 10...
July 22, 2016: Journal of Neurointerventional Surgery
Qing-Hui Yang, Wen Zhang, Qing-Xin Liu, Ling-Xiao Liu, Lin-Lin Wu, Jian-Hua Wang, Zhi-Ping Yan, Jian-Jun Luo
PURPOSE: This study was designed to evaluate the safety and efficacy of transarterial chemoembolization (TACE) combined with intra-IVC implantation of an irradiation stent for the treatment of hepatocellular carcinoma (HCC) complicated by inferior vena cava tumor thrombosis (IVCTT). METHODS: Sixty-one consecutive patients with HCC complicated by IVCTT treated by TACE combined with IVC stenting were retrospectively analysed. IVC stenting was performed using a stent loaded with (125)I seeds strands (the irradiation stent) in 33 patients (Group A) and 28 patients with a bare stent (Group B)...
September 2016: Cardiovascular and Interventional Radiology
Xiangchen Meng, Yong Lv, Bojing Zhang, Chuangye He, Wengang Guo, Bohan Luo, Zhanxin Yin, Daiming Fan, Guohong Han
PURPOSE: To evaluate safety and efficacy of balloon dilation and stent placement combined with thrombus aspiration and thrombolysis to treat patients with Budd-Chiari syndrome (BCS) with inferior vena cava (IVC) thrombosis. MATERIALS AND METHODS: Charts from 55 consecutive patients with primary BCS and IVC thrombosis treated between April 2000 and August 2014 were retrospectively analyzed. Transcatheter aspiration and percutaneous recanalization were attempted in all patients, and stents were placed if balloon dilation was successful...
October 2016: Journal of Vascular and Interventional Radiology: JVIR
Wen-Dong Li, Hui-Ying Yu, Ai-Min Qian, Jian-Jie Rong, Ye-Qing Zhang, Xiao-Qiang Li
OBJECTIVES: To explore the risk factors for recurrence of inferior vena cava (IVC)-type Budd-Chiari syndrome (BCS) after stenting and evaluate the feasibility and primary outcomes of endovascular therapies for recurrent BCS. METHODS: A retrospective analysis of 219 patients was performed to identify risk factors for recurrence. The images of the recurrent patients during follow-up duration and interventional surgery were also reviewed to find the possible reasons of recurrence...
July 7, 2016: European Radiology
Bert Du Pont, Jurgen Verbist, Wouter Van den Eynde, Patrick Peeters
Background Cockett and Thomas described and named Cockett's syndrome in 1965, commonly referred to as iliac vein compression syndrome (IVCS). It is often found as underlying cause in iliofemoral deep venous thrombosis (DVT). They described the syndrome mostly seen on the left side and predominantly in women during the second to the fourth decade of life. In this article, we present a patient with a Cockett's syndrome on the right side. Case presentation Our patient is a 52-year old female with edema of the right leg since 4 months...
April 2016: Acta Chirurgica Belgica
Lin Ou-Yang, Guang-Ming Lu
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To explore the underlying anatomy of MTS using CT and discuss its clinical significance for typing diagnosis. SUMMARY OF BACKGROUND DATA: Because the anatomical position of the corpse cannot fully illustrate the actual clinical situation in vivo, the diversity of MTS has not been fully elucidated yet. METHODS: Retrospectively analysed the data of 69 patients with MTS. By CT showing, patients were categorized to simple MTS (sMTS, 22), lumbar degeneration-related MTS (dMTS, 33) and other causes MTS (oMTS, 14); meanwhile, a healthy control group were set...
July 1, 2016: Spine
Munirah Ismail, Gideon Praveen Kumar, Foad Kabinejadian, Yen Ngoc Nguyen, Fangsen Cui, Edgar Lik Wui Tay, Hwa Liang Leo
Heterotopic implantation of transcatheter tricuspid valve is a new treatment option for tricuspid regurgitation. Transcatheter tricuspid valves are implanted onto the cavoatrial junction in order to avoid the challenging task of anchoring the valve onto the complex tricuspid valve annulus. However, little is known about optimum extent of oversizing of the valved stent in a vena cava. In this study, we implanted valves of the same diameter onto the larger sized inferior vena cava (IVC) and a smaller sized superior vena cava (SVC)...
September 2016: Cardiovascular Engineering and Technology
Dhiraj Tripathi, Lawrence Sunderraj, Vishwaraj Vemala, Homoyon Mehrzad, Zergham Zia, Kamarjit Mangat, Richard West, Frederick Chen, Elwyn Elias, Simon P Olliff
BACKGROUND AND AIMS: A proportion of patients with Budd Chiari Syndrome (BCS) associated with stenosis or short occlusion of the hepatic vein (HV) or upper inferior vena cava (IVC) can be treated with recanalization by percutaneous venoplasty ± HV stent insertion. We studied the long-term outcomes of this approach. METHODS: Single centre retrospective analysis of patients referred for radiological assessment ± intervention over a 27 year period. Of 155 BCS patients, 63 patients whose underwent venoplasty were studied and compared to a previously reported series treated by TIPSS (n=59)...
June 2, 2016: Liver International: Official Journal of the International Association for the Study of the Liver
Jessica M Andreoli, Bartley G Thornburg, Ryan M Hickey
Recurrent deep venous thrombosis and inferior vena cava (IVC) thrombosis are well-described complications following IVC filter placement. IVC thrombosis ranges in severity of clinical presentation, but can lead to significant morbidity and mortality with incidence rates depending on patient population and type of filter used. Endovascular therapies such as catheter-directed thrombolysis, mechanical thrombectomy, balloon venoplasty, and stenting are safe and effective in restoration of venous patency.
June 2016: Seminars in Interventional Radiology
Krantikumar Rathod, Hemant Deshmukh, Akash Shukla, Bhavesh Popat, Ankur Pandey, Amit Gupte, Deepak Kumar Gupta, Shobna J Bhatia
BACKGROUND AND AIM: Percutaneous radiologic interventions are increasingly being used in management of Budd Chiari syndrome (BCS). Minimal invasive approach has resulted in excellent long term outcomes. We evaluated the treatment efficacy and safety of radiological intervention in BCS patients. METHODS: Between January 2008 and June 2014, 190 BCS patients underwent endovascular procedures [hepatic vein, collateral vein or inferior vena cava (IVC) plasty with or without stenting, or transjugular intrahepatic portosystemic shunting (TIPSS)]...
May 24, 2016: Journal of Gastroenterology and Hepatology
Sung Hyun Kim, Hae Min Lee, Seung Ho Lee, Jong Yoon Won, Kyung Sik Kim
Portal hypertension can arise from any condition interfering with normal blood flow at any level within the portal system. Herein, we presented two uncommon cases of the portal hypertension and its treatment with brief literature review. A 71-year-old man who underwent right hemihepatectomy revealed a tumor recurrence adjacent to the inferior vena cava (IVC). After radiofrequency ablation (RFA) with lymph node dissection, he was referred for abdominal distension. The abdomen computed tomography scan showed severe ascites with a narrowing middle hepatic vein (MHV) and IVC around the RFA site...
May 2016: Korean Journal of Hepato-biliary-pancreatic Surgery
Pradeepkumar Charlagorla, John P Breinholt
Plastic bronchitis is a rare life-threatening complication of the Fontan operation. Transcatheter Fontan fenestration can ameliorate symptoms by decompressing elevated venous pressures. Transcatheter creation of a fenestration can be technically challenging in cases with complex venous anatomy. We report a case of a 5-year-old boy with heterotaxy, dextrocardia with unbalanced atrioventricular canal (AVC), atrial and visceral situs inversus, left-sided superior vena cava (SVC), and left-sided interrupted inferior vena cava (IVC) with azygos continuation...
May 2016: Annals of Pediatric Cardiology
John Karageorgiou, Kathryn Fowler, Suresh Vedantham, Nael Saad
Patients with inferior vena cava (IVC) filter-associated deep venous thrombosis (DVT) are a challenging subset of patients for endovascular intervention. Given the lack of available data pertaining to this clinical scenario, the purpose of this study was to evaluate the authors' experience with the use of endovascular treatment for DVT in patients with IVC filters. Primary aims included assessing the technical and clinical success, complications, and clinical patency in these patients. This was a retrospective single-center review of adult patients with IVC filters undergoing endovascular treatment of DVT between 1/2005 and 4/2014...
October 2016: Vascular Medicine
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