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.

Adam, Luise; Wyss, Thomas Rudolf; Do, Dai-Do; Baumgartner, Iris; Kucher, Nils (2015). 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. Journal of vascular surgery. Venous and lymphatic disorders, 3(4), pp. 442-445. Elsevier 10.1016/j.jvsv.2015.04.006

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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.

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