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Successful stenting of a complex inferior vena cava stenosis using a modified sharp recanulization technique
Author(s) -
Patel Tejas,
Shah Sanjay,
Sanghvi Kintur,
Fonseca Keith
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.1110
Subject(s) - medicine , dilator , inferior vena cava , stenosis , occlusion , radiology , budd–chiari syndrome , ultrasound , stent , surgery
We describe a case of a 30‐year‐old male who presented with features of noncirrhotic portal hypertension, who was diagnosed to have inferior vena cava (IVC) obstruction. IVC angiogram and ultrasound study revealed a long‐segment (36 mm long), chronic total thrombotic occlusion that was dilated and stented with a satisfactory end result. The unique feature of this case is a modified sharp recanulization technique involving the use of Brokenborough (septal puncture) needle and Mullin dilator to create a track in such a long, chronic total occlusion under simultaneous ultrasound and fluoroscopic guidance. Cathet Cardiovasc Intervent 2001;52:492–495. © 2001 Wiley‐Liss, Inc.