Open and hybrid deep vein reconstructions: To do or not to do?

P. Gloviczki, M. Kalra, A. A. Duncan, G. S. Oderich, T. J. Vrtiska, T. C. Bower

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Endovascular reconstruction has become the standard treatment of chronic obstruction of large veins. Stenting is done with increasing frequency to treat iliac venous obstructions, with or without associated inferior vena caval or femoral vein occlusions. Open reconstruction with venous bypass is performed today in patients who fail attempts at venous stenting or who are not candidates for endovascular reconstructions. Patients with primary or secondary malignancies invading the vena cava undergo open caval reconstruction at the time of tumour excision. Open venous reconstructions are still preferred in patients with large vein injuries due to blunt or penetrating trauma or in those who suffer iatrogenic venous injuries. Hybrid reconstruction can be performed with endophlebectomy of the common femoral or femoral veins combined with iliofemoral stenting.

Original languageEnglish (US)
Pages (from-to)103-106
Number of pages4
JournalPhlebology
Volume27
Issue numberSUPPL. 1
DOIs
StatePublished - Mar 1 2012

Keywords

  • Hybrid venous repair
  • Iliocaval obstruction
  • May-Thurner syndrome
  • Venous reconstruction
  • Venous stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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