title: Endovascular stent reconstruction of a chronic total occlusion of the inferior vena cava using bidirectional wire access and a balloon puncture by a re-entry device.
abstract: Venous angioplasty with stenting of iliac veins is an important treatment option for patients suffering from post-thrombotic syndrome due to chronic venous obstruction. Interventional treatment of a chronically occluded vena cava, however, is challenging and often associated with failure. We describe a case of a chronic total occlusion of the entire inferior vena cava that was successfully recanalized using bidirectional wire access and a balloon puncture by a re-entry catheter to establish patency of the inferior vena cava.
authors.affiliation: Clinic for Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital Bern, Bern, Switzerland.
authors.forename: Luise
authors.initials: L
authors.lastname: Adam
authors.affiliation: Department of Cardiovascular Surgery, Inselspital, University Hospital Bern, Bern, Switzerland.
authors.forename: Thomas Rudolf
authors.initials: TR
authors.lastname: Wyss
authors.affiliation: Clinic for Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital Bern, Bern, Switzerland.
authors.forename: Dai-Do
authors.initials: DD
authors.lastname: Do
authors.affiliation: Clinic for Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital Bern, Bern, Switzerland.
authors.forename: Iris
authors.initials: I
authors.lastname: Baumgartner
authors.affiliation: Clinic for Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital Bern, Bern, Switzerland. Electronic address: nils.kucher@insel.ch.
authors.forename: Nils
authors.initials: N
authors.lastname: Kucher
mesh_terms: D000800:Angioplasty, Balloon; D003251:Constriction, Pathologic; D057510:Endovascular Procedures; D006801:Humans; D007084:Iliac Vein; D008297:Male; D008875:Middle Aged; D011677:Punctures; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000628:therapy*; D016896:Treatment Outcome; D014652:Vascular Diseases; D014682:Vena Cava, Inferior / Q000473:pathology*