Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral.

Slides:

Advertisements

Similar presentations

Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT

Advertisements

Uses of different D-dimer levels can reduce the need for venous duplex scanning to rule out deep vein thrombosis in patients with symptomatic pulmonary.

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava Nitin Garg, MBBS,

Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD

Comparison of vein valve function following pharmacomechanical thrombolysis versus simple catheter-directed thrombolysis for iliofemoral deep vein thrombosis

A case of external iliac arteriovenous fistula and high-output cardiac failure after endovenous laser treatment of great saphenous vein Scott J. Ziporin,

Staged reconstruction of the inferior vena cava after gunshot injury

Venous stenting across the inguinal ligament

Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion Joseph R. Schneider, MD, PhD,

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava Nitin Garg, MBBS,

Managing iliofemoral deep venous thrombosis of pregnancy with a strategy of thrombus removal is safe and avoids post-thrombotic morbidity Santiago Herrera,

A strategy of aggressive regional therapy for acute iliofemoral venous thrombosis with contemporary venous thrombectomy or catheter-directed thrombolysis

Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study Ruth L. Bush, MD, Peter.

Hyperemic maximal venous outflow unmasks symptomatic lower extremity venous obstruction David J. Paolini, MD, Linda S. Jones, RVT, Anthony J. Comerota,

Mesenchymal chondrosarcoma originating from the femoral vein

Christopher T. Healey, MD, Neil Halin, DO, Mark Iafrati, MD

Mechanical and pharmacologic catheter-directed thrombolysis treatment of severe, symptomatic, bilateral deep vein thrombosis with congenital absence of.

Congenital absence of the inferior vena cava with bilateral iliofemoral acute deep venous thrombosis Sungho Lim, MD, Pegge M. Halandras, MD, Richard.

Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency Robert F. Merchant,

Correction Journal of Vascular Surgery

A hybrid approach to recanalization of a chronic iliofemoral occlusion

Iliofemoral stenting for venous occlusive disease

Improving retrieval rates of temporary inferior vena cava filters

Thrombolysis for deep venous thrombosis

Thrombosis in unusual sites of the lower extremity veins

Anthony J. Comerota, MD, Steven S. Gale, MD

Diagnosis and endovascular treatment of iliocaval compression syndrome

Lowell S. Kabnick, MD Journal of Vascular Surgery

Late results of surgical venous thrombectomy with iliocaval stenting

Endovascular treatment of obliterative hepatocavopathy with inferior vena cava occlusion and renal vein thrombosis Charles S. Thompson, MD, Michael J.

Iliofemoral endarterectomy associated with systematic iliac stent grafting for the treatment of severe iliofemoral occlusive disease Pierre Maitrias,

Congenital absence of the inferior vena cava with bilateral iliofemoral acute deep venous thrombosis Sungho Lim, MD, Pegge M. Halandras, MD, Richard.

Postthrombotic morbidity correlates with residual thrombus following catheter-directed thrombolysis for iliofemoral deep vein thrombosis Anthony J. Comerota,

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

Interposition grafting for reoperation on the common femoral artery

Manuel Caceres, MD, Natalia O. Glebova, MD, PhD

Resecting the great saphenous stump with endothelial inversion decreases neither neovascularization nor thigh varicosity recurrence Dominik Heim, MD,

Combination treatment of venous thoracic outlet syndrome: Open surgical decompression and intraoperative angioplasty Darren B. Schneider, MD, Paul J.

Patient characteristics and physician-determined variables affecting saphenofemoral reflux recurrence after ligation and stripping of the great saphenous.

Extension of saphenous thrombus into the femoral vein: A potential complication of new endovenous ablation techniques Geza Mozes, MD, PhD, Manju Kalra,

Regarding “The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves” Alberto Caggiati, MD Journal.

Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications Alessandra Puggioni, MD,

Re-evaluation of iliac compression syndrome using magnetic resonance imaging in patients with acute deep venous thromboses Douglas G.W. Fraser, MRCP,

Stenting of the venous outflow in chronic venous disease: Long-term stent-related outcome, clinical, and hemodynamic result Peter Neglén, MD, PhD, Kathryn.

Stenting of chronically obstructed inferior vena cava filters

Reinterventions for nonocclusive iliofemoral venous stent malfunctions

Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease Corey J. Jost, MD, a, Peter Gloviczki, MD,

Recanalization of the intentionally interrupted inferior vena cava

Great saphenous vein patency and endovenous heat-induced thrombosis after endovenous thermal ablation with modified catheter tip positioning Omar P.

Criteria for defining significant central vein stenosis with duplex ultrasound Nicos Labropoulos, PhD, DIC, RVT, Marc Borge, MD, Kenneth Pierce, MD, Peter.

Harshal Broker, MD, G. Patrick Clagett, MD Journal of Vascular Surgery

Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence Kathleen Gibson,

Magnetic resonance venography for the detection of deep venous thrombosis: Comparison with contrast venography and duplex Doppler ultrasonography Jeffrey.

Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

Warfarin anticoagulation before angioplasty relieves thrombus burden in Budd-Chiari syndrome caused by inferior vena cava anatomic obstruction Tianxiao.

Pathogenesis and etiology of recurrent varicose veins

Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete Jillian Sullivan, APRN, Nicholas Bellas, BS, Jonathan.

Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete Jillian Sullivan, APRN, Nicholas Bellas, BS, Jonathan.

Inferior vena cava occlusion causing syncope during upper extremity exertion treated with iliocaval venous revascularization David M. Hardy, MD, John.

Myths, mystique, and misconceptions of venous disease

Ioannis Prionidis, MD, Tom F. Browne Journal of Vascular Surgery

Pharmacomechanical thrombectomy for iliofemoral deep vein thrombosis: An alternative in patients with contraindications to thrombolysis Atul S. Rao,

Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis Douglas W. Jones, MD, Combiz Rezayat, MD, Patricia.

Endovascular repair of a traumatic arteriovenous fistula involving the iliac bifurcation using an iliac branch device André Brito Queiroz, MD, Grace.

Composite sequential bypass using profunda vein hitchhike

Iliofemoral deep venous thrombosis in kidney transplant patients can cause graft dysfunction Ali Khalifeh, MD, Michaella Reif, BS, Besher Tolayamat,

Elna M. Masuda, MD, Robert L. Kistner, MD, Eugene B. Ferris, MD

Use of an endovascular occlusion balloon for control of unremitting venous hemorrhage Bryan W. Tillman, MD, PhD, Patrick S. Vaccaro, MD, Jean E. Starr,

Presentation transcript:

Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral obstruction David Vogel, MD, Anthony J. Comerota, MD, Mustafa Al-Jabouri, MD, Zakaria I. Assi, MD Journal of Vascular Surgery Volume 55, Issue 1, Pages 129-135 (January 2012) DOI: 10.1016/j.jvs.2011.05.017 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A, B, and C, Preoperative venogram demonstrates extensive venous obstruction from the midthigh to the vena cava in a patient incapacitated following iliofemoral and femoropopliteal deep vein thrombosis (DVT) 7 months earlier. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Operative exposure of the common femoral vein (CFV), femoral vein (FV), saphenofemoral junction (SFJ), and origins of the profunda femoris vein (PFV). Smaller tributaries are ligated or controlled with vessel loops. Dissection is extended cephalad to under the inguinal ligament exposing the distal external iliac vein (EIV). GSV, Great saphenous vein. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 A longitudinal venotomy often incorporates the distal external iliac vein (EIV) to the proximal femoral vein. Fibrotic transformation of occlusive thrombus is observed, with a remaining core of old thrombus. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 The lumen of the external iliac vein (EIV) is noted to be diseased with the characteristic fibrous webs and synechiae. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 A, Postendovenectomy, the distal external iliac (EIV) and the common femoral vein (CFV) is cleared of obstruction, (B) with the dissection extending into the orifice(s) of the profunda venous system. PFV, Profunda femoris vein. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 A sheath is inserted into the distal common femoral vein (CFV) and secured by placing a vascular tourniquet around the distal CFV. Clamps on all branch vessels remain in place. Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 7 Intraoperative venogram following balloon dilation and stenting shows unobstructed drainage from the common femoral vein (CFV) to the inferior vena cava (IVC). Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 8 Following removal of the sheath, closure of the patch venoplasty is completed. The proximal femoral and saphenous veins were resected. Picture shows common femoral vein (CFV) patch extending onto the profunda femoris vein (PFV). Journal of Vascular Surgery 2012 55, 129-135DOI: (10.1016/j.jvs.2011.05.017) Copyright © 2012 Society for Vascular Surgery Terms and Conditions