Журнал клинических случаев

Endovascular Intervention in Chronically Occluded Inferior Vena Cava with Modified Sharp Recanalization Technique

Abstract

Tarun Madan, Abhishek Raval, Rajiv Garg and Anand Shukla

Though endovascular interventions for venous obstructive lesions have evolved, chronic total occlusions are difficult to negotiate. We are describing our experience of successfully using modified sharp recanalization technique in which the Brockenbrough needle in the Mullin sheath was used to negotiate the chronic total occlusion of inferior vena cava in a case in which the lesion was not crossed with repeated attempts with a guide-wire. Finally the lesion was predilated with mitral valvuloplasty balloon. A balloon-mounted stent was deployed with optimum postprocedural results. At the follow-up of 6 months, the patient was asymptomatic with optimal clinical outcome in form of patent stent on Doppler and computed tomography studies.