Iliocaval Confluence Stenting for Chronic Venous Obstructions.


PURPOSE:Different techniques have been described for stenting of venous obstructions. We report our experience with two different confluence stenting techniques to treat chronic bi-iliocaval obstructions. MATERIALS AND METHODS:Between 11/2009 and 08/2014 we treated 40 patients for chronic total bi-iliocaval obstructions. Pre-operative magnetic resonance venography showed bilateral extensive post-thrombotic scarring in common and external iliac veins as well as obstruction of the inferior vena cava (IVC). Stenting of the IVC was performed with large self-expandable stents down to the level of the iliocaval confluence. To bridge the confluence, either self-expandable stents were placed inside the IVC stent (24 patients, SECS group) or high radial force balloon-expandable stents were placed at the same level (16 patients, BECS group). In both cases, bilateral iliac extensions were performed using nitinol stents. RESULTS:Recanalization was achieved for all patients. In 15 (38 %) patients, a hybrid procedure with endophlebectomy and arteriovenous fistula creation needed to be performed because of significant involvement of inflow vessels below the inguinal ligament. Mean follow-up was 443 ± 438 days (range 7-1683 days). For all patients, primary, assisted-primary, and secondary patency rate at 36 months were 70, 73, and 78 %, respectively. Twelve-month patency rates in the SECS group were 85, 85, and 95 % for primary, assisted-primary, and secondary patency. In the BECS group, primary patency was 100 % during a mean follow-up period of 134 ± 118 (range 29-337) days. CONCLUSION:Stenting of chronic bi-iliocaval obstruction shows relatively high patency rates at medium follow-up. Short-term patency seems to favor confluence stenting with balloon-expandable stents.


de Graaf R,de Wolf M,Sailer AM,van Laanen J,Wittens C,Jalaie H




Has Abstract


2015-10-01 00:00:00














  • Post-stenting intravascular brachytherapy trials on hypercholesterolemic rabbits using 32P liquid sources: implications for prevention of in-stent restenosis.

    abstract:PURPOSE:Liquid sources of radiation delivered in angioplasty balloons may be a convenient self-centering device used for prevention of in-stent restenosis. To test the effectiveness of this method an intravascular brachytherapy study was performed using 32P liquid sources in an animal model. METHODS:The radial dose di...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Wilczek K,Walichiewicz P,Petelenz B,Jache W,Jochem J,Tomasik A,Bilski P,Snietura M,Wodniecki J

    更新日期:2002-07-01 00:00:00

  • Uterine Artery Embolization for Retained Products of Conception with Marked Vascularity: A Safe and Efficient First-Line Treatment.

    abstract:OBJECTIVE:To report our clinical practice regarding a case series of retained products of conception (RPOC) with marked vascularity (MV) managed with selective uterine artery embolization (UAE) as first-line treatment. METHODS:This was a monocentric, retrospective study of 31 consecutive cases of RPOC with MV diagnose...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Bazeries P,Paisant-Thouveny F,Yahya S,Bouvier A,Nedelcu C,Boussion F,Sentilhes L,Willoteaux S,Aubé C

    更新日期:2017-04-01 00:00:00

  • Effort thrombosis: role of interventional therapy.

    abstract::Effort thrombosis, a form of axillary-subclavian vein occlusion in young people, was identified in patients referred over a 5-year period. Eleven of 120 patients (9%) with venous occlusion from many causes had effort thrombosis. They were treated acutely with heparin and then by thrombolysis, angioplasty, surgical byp...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Grassi CJ,Bettmann MA

    更新日期:1990-10-01 00:00:00

  • Isolated external iliac artery aneurysm secondary to cystic medial necrosis.

    abstract::The computed tomographic and angiographic findings of an isolated external iliac artery aneurysm secondary to cystic medial necrosis in a patient without Marfan's disease are demonstrated. A review of the differential diagnosis and surgical treatment of iliac artery aneurysms is presented. The dramatic surgical sequel...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Crivello MS,Porter DH,Kim D,Critchlow JF,Scoutt L

    更新日期:1986-01-01 00:00:00

  • Does preinterventional flat-panel computer tomography pooled blood volume mapping predict final infarct volume after mechanical thrombectomy in acute cerebral artery occlusion?

    abstract:PURPOSE:Decreased cerebral blood volume is known to be a predictor for final infarct volume in acute cerebral artery occlusion. To evaluate the predictability of final infarct volume in patients with acute occlusion of the middle cerebral artery (MCA) or the distal internal carotid artery (ICA) and successful endovascu...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Wagner M,Kyriakou Y,du Mesnil de Rochemont R,Singer OC,Berkefeld J

    更新日期:2013-08-01 00:00:00

  • Palmaz stent dislodgement into the left pulmonary artery complicating TIPS: percutaneous retrieval and extraction after venotomy.

    abstract::A Palmaz stent had dislodged into the left pulmonary artery after TIPS. After transfemoral catheterization of the left pulmonary artery, the stent was retrieved into the right femoral vein employing an angioplastic balloon catheter and finally extracted after surgical venotomy. ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Grosso M,Spalluto F,Muratore P,Cristoferi M,Veltri A

    更新日期:1995-03-01 00:00:00

  • Radiofrequency ablation combined with renal arterial embolization for the treatment of unresectable renal cell carcinoma larger than 3.5 cm: initial experience.

    abstract::The purpose of the study was to evaluate the feasibility, safety, and therapeutic effects of the combination of renal arterial embolization and radiofrequency (RF) ablation to reinforce the anticancer effect on renal cell carcinomas (RCCs) measuring 3.5 cm or larger. This study was undertaken to evaluate this combined...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Yamakado K,Nakatsuka A,Kobayashi S,Akeboshi M,Takaki H,Kariya Z,Kinbara H,Arima K,Yanagawa M,Hori Y,Kato H,Sugimura Y,Takeda K

    更新日期:2006-05-01 00:00:00

  • Novel percutaneous radiofrequency ablation of portal vein tumor thrombus: safety and feasibility.

    abstract:PURPOSE:We report our experience of the safety of partial recanalization of the portal vein using a novel endovascular radiofrequency (RF) catheter for portal vein tumor thrombosis. METHODS:Six patients with liver cancer and tumor thrombus in the portal vein underwent percutaneous intravascular radiofrequency ablation...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Mizandari M,Ao G,Zhang Y,Feng X,Shen Q,Chen M,Lau W,Nicholls J,Jiao L,Habib N

    更新日期:2013-02-01 00:00:00

  • Necrosis and apoptosis in hepatocellular carcinoma following low-dose versus high-dose preoperative chemoembolization.

    abstract::Our purpose was to study necrosis and apoptosis of hepatocellular carcinoma (HCC) cells after preoperative transcatheter arterial chemoembolization (TACE) with use of low-dose and high-dose anticancer drugs in HCCs. Fifty-four patients with advanced but surgically resectable HCC were studied. Thirty-four patients who ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章,随机对照试验


    authors: Lu W,Li YH,He XF,Zhao JB,Chen Y,Mei QL

    更新日期:2008-11-01 00:00:00

  • Retroperitoneal extraskeletal osteosarcoma: imaging findings and transarterial chemoembolization.

    abstract::Extraskeletal osteosarcoma (EOS) is an uncommon and usually highly aggressive mesenchymal tumor. Retroperitoneal extraskeletal osteosarma (REOS) is exceedingly rare. Due to the rare nature of the disease, both the diagnosis and the management of REOS can be challenging. We present the clinical history, CT findings, an...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Zhang HJ,Yang JJ,Lu JP,Sheng J,Yuan M,Jiang X,Li YX,Gupta S

    更新日期:2010-04-01 00:00:00

  • A Prospective Clinical Study of a Percutaneous Vascular Access System for Hemodialysis Catheters.

    abstract:INTRODUCTION:Dysfunctional or infected hemodialysis polyester-cuffed catheters often require removal and are dissected out. The DermaPort™, percutaneous vascular access system (PVAS) permanently integrates a titanium mesh with the skin forming a stable, sterile barrier that allows for catheter placement, adjustment, or...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Rajan DK,Moran B,Lobl TJ,Asch MR,Steele AW,Lok CE

    更新日期:2018-10-01 00:00:00

  • Transarterial Ethanol Ablation for Small Hepatocellular Carcinoma (≤ 3 cm): A Comparative Study Versus Radiofrequency Ablation.

    abstract:PURPOSE:The objective was to evaluate the local treatment efficacy of transarterial ethanol ablation (TEA) as compared to radiofrequency ablation (RFA) for small hepatocellular carcinoma (HCC). MATERIALS AND METHODS:This was a retrospective study between January 2005 and April 2017, in which the treatment outcomes of ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Yu SCH,Hui JWY,Chong CCN,Chu CM,Cheung S,Wong J,Lee KF

    更新日期:2020-05-01 00:00:00

  • Ultrasound-Guided Percutaneous Radiofrequency for the Treatment of Morton's Neuroma.

    abstract:PURPOSE:Morton's neuroma (MN) is a leading cause of disability. The purpose of this study was to investigate the effectiveness of radiofrequency (RF) in patients with chronic pain refractory to conservative therapies. METHODS:Between September 2012 and December 2016, RF was performed on 52 patients. A sterile RF needl...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Masala S,Cuzzolino A,Morini M,Raguso M,Fiori R

    更新日期:2018-01-01 00:00:00

  • A complication with the Gianturco coil and its non-surgical management.

    abstract::During the placement of a Gianturco coil in a patient with renal cell carcinoma, the cotton threads of the steel coil remained fixed to the introducing catheter tip, and the coil was unintentionally withdrawn from the selected renal artery back into the aorta. By snare technique the coil was caught with another angiog...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Weber J

    更新日期:1980-01-01 00:00:00

  • An unusual left ventricular outflow pseudoaneurysm: usefulness of echocardiography and multidetector computed tomography for surgical repair.

    abstract::Left ventricular outflow tract (LVOT) pseudoaneurysm is a rare but potentially lethal complication, mainly after aortic root endocarditis or surgery. Usually it originates from a dehiscence in the mitral-aortic intervalvular fibrosa and it arises posteriorly to the aortic root. Due to these anatomical features, its im...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Da Col U,Ramoni E,Di Bella I,Ragni T

    更新日期:2009-01-01 00:00:00

  • Acute Carotid Artery Stent Thrombosis Due to Dual Antiplatelet Resistance.

    abstract::Carotid artery stenting (CAS) is a revascularization modality that is an alternative to carotid endarterectomy. The efficacy of CAS in primary and secondary prevention from ischemic stroke has been demonstrated in various trials. Acute thrombosis of CAS is a rare complication that can lead to dramatic and catastrophic...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Köklü E,Arslan Ş,Yüksel İÖ,Bayar N,Koç P

    更新日期:2015-08-01 00:00:00

  • The renal impact of aortic stent-grafting in patients with a horseshoe kidney.

    abstract::Aortic stent grafting may be an alternative to surgery for patients with an abdominal aortic aneurysm and coexistent horseshoe kidney but is not without difficulties. This study examines the renal consequences of aortic stent grafting in such patients. This is a retrospective review of patients with horseshoe kidney i...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Jackson RW,Fay DM,Wyatt MG,Rose JD

    更新日期:2004-11-01 00:00:00

  • Percutaneous transluminal embolization for improved prognosis of renal cell carcinoma--dependence on tumor stages.

    abstract::The effect of percutaneous transluminal embolization (PTE) on the prognosis of renal cell carcinoma, depending on tumor stage, was retrospectively investigated on 303 patients. The life-table method was used for statistical comparison of survival rates of preoperatively or palliatively embolized patients with those of...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Stoesslein F,Schwenke A,Muenster W

    更新日期:1988-04-01 00:00:00

  • Treatment of malignant tracheobronchial stenosis by Dacron mesh-covered Z-stents.

    abstract::Z-stents partially covered with an expandable Dacron mesh into which epinephrine and thrombin were infiltrated, were used to reopen both mainstem bronchi, stenosed by bronchogenic carcinoma and to deliver hemostatic agents to the lesion. On follow-up 4 and 6 weeks later, airway patency was retained, the tumor surface ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Kishi K,Kobayashi H,Suruda T,Ohata M,Sonomura T,Nishida N,Sato M,Yamada R

    更新日期:1994-01-01 00:00:00

  • Comparison of self-expanding polyethylene terephthalate and metallic stents implanted in porcine iliac arteries.

    abstract:PURPOSE:Comparison of the biocompatibility of self-expanding polyethylene terephthalate (PET) stents with self-expanding metallic stents (Wallstents). METHODS:Diameter- and length-matched PET stents and Wallstents were symmetrically implanted in the paired iliac arteries of 13 crossbred domestic swine. Stent deploymen...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Wilczek K,Scheerder ID,Wang K,Verbeken E,Piessens J

    更新日期:1996-05-01 00:00:00

  • Coronary events and anatomy after arterial switch operation for transposition of the great arteries: detection by 16-row multislice computed tomography angiography in pediatric patients.

    abstract::The purpose of this study was to evaluate the feasibility of multislice computed tomographic (MSCT) angiography as a noninvasive method for detecting ostial, proximal, and middle segment coronary stenosis or occlusion and anatomy in patients with transposition of the great arteries who had undergone arterial switch op...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Oztunç F,Bariş S,Adaletli I,Onol NO,Olgun DC,Güzeltaş A,Ozyilmaz I,Ozdil M,Kurugoğlu S,Eroğlu AG

    更新日期:2009-03-01 00:00:00

  • Comparison of pain after uterine artery embolization using tris-acryl gelatin microspheres versus polyvinyl alcohol particles.

    abstract::When compared in a uterine artery embolization (UAE) animal model, Embospheres (ES) (Biosphere Medical, Rockland, MA) were found to induce less uterine ischemia than polyvinyl alcohol (PVA) particles. Given this finding, we aimed to test the hypothesis that ES is associated with less pain after UAE than PVA in human p...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Ryu RK,Omary RA,Sichlau MJ,Siddiqi A,Chrisman HB,Nemcek AA Jr,Vogelzang RL

    更新日期:2003-07-01 00:00:00

  • In-Hospital Intravenous Thrombolysis Offers No Benefit in Mechanical Thrombectomy in Optimized Tertiary Stroke Center Setting.

    abstract:PURPOSE:Mechanical thrombectomy (MT) is the first-line treatment in acute stroke patients presenting with large vessel occlusion (LVO). The efficacy of intravenous thrombolysis (IVT) prior to MT is being contested. The objective of this study was to evaluate the efficacy of MT without IVT in patients with no contraindi...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Pienimäki JP,Ollikainen J,Sillanpää N,Protto S

    更新日期:2020-12-22 00:00:00

  • Systemic pulsatile pressure in type II endoleaks after stent grafting of experimental abdominal aortic aneurysms.

    abstract:PURPOSE:To investigate pressure and maximum rate of rise of systolic pressure (peak dP/dt) in completely excluded aneurysms and endoleaks to determine the hemodynamic impact of endoleaks. METHODS:In mongrel dogs (n = 36) experimental aneurysms were created by insertion of a patch (portion of rectus abdominis muscle sh...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Pitton MB,Schmenger P,Düber C,Neufang A,Thelen M

    更新日期:2003-05-01 00:00:00

  • Magnetic resonance tomography of the pelvis.

    abstract::Because magnetic resonance tomography (MRT) has the ability to make cross-sectional images in three planes that have superior contrast between organs, muscle, fat, and bone, its use for the demonstration of pelvic disease shows considerable promise. The normal pelvic anatomy is clearly displayed because of the high co...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Smith FW

    更新日期:1986-01-01 00:00:00

  • Complications of percutaneous nephrostomy, percutaneous insertion of ureteral endoprosthesis, and replacement procedures.

    abstract:PURPOSE:The aim of the present study was to record and identify the frequency of complications following percutaneous nephrostomy, replacement of nephrostomy drains and percutaneous insertion of ureteral endoprostheses. METHODS:During a 10-year period 341 patients were referred to our department with indications for p...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Kaskarelis IS,Papadaki MG,Malliaraki NE,Robotis ED,Malagari KS,Piperopoulos PN

    更新日期:2001-07-01 00:00:00

  • Safety and Efficacy of Uterine Artery Embolization in Ectopic Pregnancies Refractory to Systemic Methotrexate Treatment: A Single-Center Study.

    abstract:BACKGROUND:To investigate the use of uterine artery embolization (UAE) to manage ectopic pregnancies that are refractory to systemic methotrexate (MTX) therapy and plagued by persistently high serum β-human chorionic gonadotrophin (hCG) levels and vaginal bleeding. The safety and efficacy of UAE were addressed. MATERI...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Kwon JH,Kim GM,Han K,Kim MD,Won JY,Lee DY

    更新日期:2017-09-01 00:00:00

  • Angiography of hepatic vascular malformations associated with hereditary hemorrhagic telangiectasia.

    abstract:PURPOSE:To describe the angiographic features of hepatic involvement in hereditary hemorrhagic telangiectasia (HHT), particularly the presence of portovenous shunts. METHODS:We reviewed the angiographic findings of seven patients with HHT. The patients comprised three women and four men with a mean age of 51 years. R...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Hashimoto M,Tate E,Nishii T,Watarai J,Shioya T,White RI

    更新日期:2003-03-01 00:00:00

  • Successful coronary stent retrieval from a pedal artery.

    abstract::The purpose of this article is to report complications from a coronary drug-eluting stent lost in the peripheral circulation. We report the case of successful retrieval of a sirolimus coronary stent from a pedal artery in a young patient who underwent coronary angiography for previous anterior myocardial infarction. R...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Mariano E,Versaci F,Gandini R,Simonetti G,Di Vito L,Romeo F

    更新日期:2008-05-01 00:00:00

  • Radioembolization dosimetry: the road ahead.

    abstract::Methods for calculating the activity to be administered during yttrium-90 radioembolization (RE) are largely based on empirical toxicity and efficacy analyses, rather than dosimetry. At the same time, it is recognized that treatment planning based on proper dosimetry is of vital importance for the optimization of the ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章,评审


    authors: Smits ML,Elschot M,Sze DY,Kao YH,Nijsen JF,Iagaru AH,de Jong HW,van den Bosch MA,Lam MG

    更新日期:2015-04-01 00:00:00