Chronically occluded inferior Venae cavae: Endovascular treatment

Mahmood K. Razavi, Ernst C. Hansch, Stephen T. Kee, Daniel T. Sze, Charles P. Semba, Michael D. Dake

Research output: Contribution to journalArticle

90 Scopus citations

Abstract

PURPOSE: To report the results of endoluminal recanalization and stent placement in patients with chronic occlusions of the inferior vena cava (IVC). MATERIALS AND METHODS: Seventeen consecutive patients (12 male, five female patients; mean age, 40.6 years; age range, 15-77 years) which chronic IVC occlusions were treated during a 6-year period. The mean duration of symptoms was 32 months. Underlying active malignancy was the cause of occlusion in four patients. Five patients with superimposed acute thrombus underwent catheter-directed thrombolysis prior to IVC recanalization. Clinical patency was defined as absence or improvement of symptoms. Clinical follow-up was supplemented with ultrasonography, vena cavography, or both in 10 patients. RESULTS: Technical success was achieved in 15 (88%) patients. Additional thrombolytic therapy and stent placement was needed in two patients to maintain patency at 4 and 6 months after the procedure. Twelve patients had IVCs that remained patent after a mean follow-up of 19 months for a primary patency rate of 80%. The primary assisted patency rate was 87% (13 of 15). There were four deaths owing to underlying disease 6-21 months after the procedures. There were no procedure-related complications. CONCLUSION: Endoluminal recanalization and stent placement in chronically occluded IVCs has a good intermediate-term outcome and should be considered in patients who have symptoms and who often do not have adequate alternative therapy.

Original languageEnglish (US)
Pages (from-to)133-138
Number of pages6
JournalRadiology
Volume214
Issue number1
DOIs
Publication statusPublished - Jan 1 2000
Externally publishedYes

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Keywords

  • Venae cavae, grafts and prostheses
  • Venae cavae, interventional procedures
  • Venae cavae, stenosis or obstruction
  • Venae cavae, thrombosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Razavi, M. K., Hansch, E. C., Kee, S. T., Sze, D. T., Semba, C. P., & Dake, M. D. (2000). Chronically occluded inferior Venae cavae: Endovascular treatment. Radiology, 214(1), 133-138. https://doi.org/10.1148/radiology.214.1.r00ja33133