Loading...
A-31 | Benign Acquired Chronic Vena Caval Occlusions: A Case Based Approach
Maruthi, Rohit Lakhter, Vladimir
Maruthi, Rohit
Lakhter, Vladimir
Citations
Altmetric:
Genre
Journal article
Date
2022-05-19
Advisor
Committee member
Department
Subject
Permanent link to this record
Collections
Research Projects
Organizational Units
Journal Issue
DOI
http://dx.doi.org/10.1016/j.jscai.2022.100086
Abstract
Background: Chronic total occlusion (CTO) of the superior vena cava (SVC) and inferior vena cava (IVC) cause a wide range of symptoms in patients due to obstructed outflow, often manifesting as SVC or IVC syndrome. Percutaneous intervention is now the first line therapy, overtaking prior surgical grafting techniques. We report a series of cases with benign acquired chronic vena caval total occlusions treated with endovascular stenting. Methods: This data was collected from a single center, retrospective chart review of the electronic medical record between November 2015 - August 2021. CTOs were identified as those with a duration of symptoms >3 months. Cases with acute thrombosis were excluded. Results: The cohort consisted of seven patients, four were women and ages ranged from 31-66 years. Two patients were on hemodialysis, three patients had pulmonary hypertension and two had chronic thromboembolic pulmonary hypertension (CTEPH). All the etiologies were benign. The procedure utilized hydrophilic wire with support catheters from multiple access sites. All patients were treated with balloon angioplasty and stenting with bare-metal stents. All patients had a technically successful procedure without procedural complications. Conclusions: These cases highlight the complex interventional techniques of CTO revascularization in the SVC and IVC lesions. Large prospective studies examining the technical and clinical success and long-term complications are needed in the future.
Description
Citation
Kiersten Frenchu, Rohit Maruthi, Vladimir Lakhter, Riyaz Bashir, A-31 | Benign Acquired Chronic Vena Caval Occlusions: A Case Based Approach, Journal of the Society for Cardiovascular Angiography & Interventions, Volume 1, Issue 3, Supplement, 2022, 100086, ISSN 2772-9303, https://doi.org/10.1016/j.jscai.2022.100086.
Citation to related work
Elsevier
Has part
Journal of the Society for Cardiovascular Angiography & Interventions, Vol. 1, Iss. 3
ADA compliance
For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu