Advanced

Endovascular treatment of venous occlusive disease

Kölbel, Tilo LU ; Lindholm, Marie LU ; Åkesson, Michael LU ; Gottsäter, Anders LU and Ivancev, Krassi LU (2009) In Gefässchirurgie 14(4). p.292-292
Abstract
In the past, open surgical techniques such as thrombectomy and bypasses were the treatments of choice for acute and chronic venous occlusive disease of the iliocaval vein segments, but the results were often disappointing. With the introduction of endovascular techniques in the 1990s, open techniques were widely replaced by endovascular interventions. Proper preoperative imaging with computed tomography and magnetic resonance phlebography has become an important part of procedure planning, but phlebography by direct puncture with contrast injection in the immediate proximity of the iliofemoral segment is still the most informative diagnostic method. Catheter-directed thrombolysis with recanalization and stenting of underlying chronic... (More)
In the past, open surgical techniques such as thrombectomy and bypasses were the treatments of choice for acute and chronic venous occlusive disease of the iliocaval vein segments, but the results were often disappointing. With the introduction of endovascular techniques in the 1990s, open techniques were widely replaced by endovascular interventions. Proper preoperative imaging with computed tomography and magnetic resonance phlebography has become an important part of procedure planning, but phlebography by direct puncture with contrast injection in the immediate proximity of the iliofemoral segment is still the most informative diagnostic method. Catheter-directed thrombolysis with recanalization and stenting of underlying chronic obstructions is becoming the treatment of choice for patients with acute iliofemoral thrombosis, as conservative treatment is not satisfactory for preventing postthrombotic syndrome. Recanalization of chronic iliac vein occlusions with balloon angioplasty and stenting can reestablish normal venous flow in the iliac veins and inferior vena cava and relieve symptoms in the majority of treated patients. New treatment modalities offer stimulating options for patients not treated adequately either by medical or open surgical therapy. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Phlebography, Postthrombotic syndrome, thrombolysis, Catheter-directed, Iliofemoral thrombosis, Venous recanalization
in
Gefässchirurgie
volume
14
issue
4
pages
292 - 292
publisher
Springer
external identifiers
  • wos:000268880900006
  • scopus:70249098793
ISSN
1434-3932
DOI
10.1007/s00772-008-0667-8
language
German
LU publication?
yes
id
1bf6c66a-5a6b-4ed5-838a-6979042ca0fb (old id 1477321)
date added to LUP
2009-09-28 15:17:35
date last changed
2017-01-01 05:12:00
@article{1bf6c66a-5a6b-4ed5-838a-6979042ca0fb,
  abstract     = {In the past, open surgical techniques such as thrombectomy and bypasses were the treatments of choice for acute and chronic venous occlusive disease of the iliocaval vein segments, but the results were often disappointing. With the introduction of endovascular techniques in the 1990s, open techniques were widely replaced by endovascular interventions. Proper preoperative imaging with computed tomography and magnetic resonance phlebography has become an important part of procedure planning, but phlebography by direct puncture with contrast injection in the immediate proximity of the iliofemoral segment is still the most informative diagnostic method. Catheter-directed thrombolysis with recanalization and stenting of underlying chronic obstructions is becoming the treatment of choice for patients with acute iliofemoral thrombosis, as conservative treatment is not satisfactory for preventing postthrombotic syndrome. Recanalization of chronic iliac vein occlusions with balloon angioplasty and stenting can reestablish normal venous flow in the iliac veins and inferior vena cava and relieve symptoms in the majority of treated patients. New treatment modalities offer stimulating options for patients not treated adequately either by medical or open surgical therapy.},
  author       = {Kölbel, Tilo and Lindholm, Marie and Åkesson, Michael and Gottsäter, Anders and Ivancev, Krassi},
  issn         = {1434-3932},
  keyword      = {Phlebography,Postthrombotic syndrome,thrombolysis,Catheter-directed,Iliofemoral thrombosis,Venous recanalization},
  language     = {ger},
  number       = {4},
  pages        = {292--292},
  publisher    = {Springer},
  series       = {Gefässchirurgie},
  title        = {Endovascular treatment of venous occlusive disease},
  url          = {http://dx.doi.org/10.1007/s00772-008-0667-8},
  volume       = {14},
  year         = {2009},
}