Recanalization of an Occluded Vena Cava Filter and Iliac Veins with Kissing Stents to Treat Postthrombotic Syndrome with a Venous Stasis Ulcer

Vascular Specialist International

Hwan Jun Jae¹  Saebeom Hur¹  Sangil Min²  Seung-Kee Min²  Hyunmin Ko²  Sanghyun Ahn² 

[1] Departments of Radiology, Seoul National University College of Medicine, Seoul, Korea;Departments of Surgery, Seoul National University College of Medicine, Seoul, Korea;

关键词: inferior vena cava filter;    stents;    deep vein thrombosis;    postthrombotic syndrome;    venous stasis ulcer;   

DOI  :  10.5758/vsi.200010

来源: DOAJ

【 摘 要 】

Inferior vena cava filters (IVCFs) are effective in preventing pulmonary embolism and their usage has rapidly increased over the past decades. However, complications have also significantly increased, as IVCF occlusion causes serious chronic venous insufficiency. Herein, we report a case of infrarenal IVCF occlusion that was successfully treated with the introduction of kissing stents through the IVCF into both iliac veins. A 54-year-old male presented with non-healing ulcers on his left leg. He had undergone IVCF implantation and warfarin medication due to deep vein thrombosis 4 years earlier in another hospital. Computed tomography (CT) revealed the filter-bearing IVC occlusion. Endovascular IVCF removal was attempted but failed. Kissing stents were deployed across the IVCF and extended into both iliac veins. Cone beam CT showed well-deployed stents just behind the occluded IVCF. Venous flow was restored without complications, and the recurrent ulcer healed immediately.

【 授权许可】

Unknown