alexa Endovascular Intervention in Chronically Occluded Infer
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Endovascular Intervention in Chronically Occluded Inferior Vena Cava with Modified Sharp Recanalization Technique

Tarun Madan, Abhishek Raval*, Rajiv Garg and Anand Shukla
UN Mehta Institute of Cardiology and Research Centre (UNMICRC), Ahmedabad, India
Corresponding Author : Abhishek P Raval
UN Mehta Institute of Cardiology and Research Center
New Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India
Tel: +919825759297
E-mail: [email protected]
Received January 16, 2015; Accepted March 29, 2015; Published March 31, 2015
Citation: Madan T, Raval A, Garg R, Shukla A (2015) Endovascular Intervention in Chronically Occluded Inferior Vena Cava with Modified Sharp Recanalization Technique. J Clin Case Rep 5:512. doi:10.4172/2165-7920.1000512
Copyright: © 2015 Madan T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Though endovascular interventions for venous obstructive lesions have evolved, chronic total occlusions are difficult to negotiate. We are describing our experience of successfully using modified sharp recanalization technique in which the Brockenbrough needle in the Mullin sheath was used to negotiate the chronic total occlusion of inferior vena cava in a case in which the lesion was not crossed with repeated attempts with a guide-wire. Finally the lesion was predilated with mitral valvuloplasty balloon. A balloon-mounted stent was deployed with optimum postprocedural results. At the follow-up of 6 months, the patient was asymptomatic with optimal clinical outcome in form of patent stent on Doppler and computed tomography studies.

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