title: Treatment of chronic venous stent occlusion with a Wildcat catheter.
abstract: A 47-year-old female with an occluded iliac vein stent originally placed for deep venous thrombosis and May-Thurner syndrome presented to our clinic with complaints of left lower extremity pain and swelling. Multiple previous attempts had been made to cross this lesion with guidewire and catheter techniques without success. We were able to cross the lesion with the Wildcat catheter. Subsequent directional laser atherectomy and balloon angioplasty followed by stent placement resulted in a patent stent and resolution of her symptoms. This is the first reported use of the Wildcat catheter in chronic venous stent occlusions.
authors.affiliation: Department of Surgery, Division of Vascular Surgery, Saint Louis University Hospital, St. Louis, MO 63110, USA. msmeds@slu.edu
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Smeds
authors.forename: Donald L
authors.initials: DL
authors.lastname: Jacobs
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D057785:Catheters; D002908:Chronic Disease; D003251:Constriction, Pathologic; D004867:Equipment Design; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010690:Phlebography; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*