Successful stenting of a complex inferior vena cava stenosis using a modified sharp recanulization technique.
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.
Patel
T
T
Krishna Heart Institute, Ahmedabad, India. krina@ad1.vsnl.net.in
Shah
S
S
Sanghvi
K
K
Fonseca
K
K
D000328:Adult; D000800:Angioplasty, Balloon; D002404:Catheterization / Q000295:instrumentation; D003251:Constriction, Pathologic / Q000628:therapy*; D006801:Humans; D008297:Male; D015607:Stents; D014682:Vena Cava, Inferior / Q000473:pathology*