Recanalization of an occluded vena cava filter and iliac veins with kissing stents to treat postthrombotic syndrome with a venous stasis ulcer

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Abstract

Inferior vena cava filters (IVCFs) are effective in preventing pulmonary embolism and their usage has rapidly increased over the past decades. However, complications have also significantly increased, as IVCF occlusion causes serious chronic venous insufficiency. Herein, we report a case of infrarenal IVCF occlusion that was successfully treated with the introduction of kissing stents through the IVCF into both iliac veins. A 54-year-old male presented with non-healing ulcers on his left leg. He had undergone IVCF implantation and warfarin medication due to deep vein thrombosis 4 years earlier in another hospital. Computed tomography (CT) revealed the filter-bearing IVC occlusion. Endovascular IVCF removal was attempted but failed. Kissing stents were deployed across the IVCF and extended into both iliac veins. Cone beam CT showed well-deployed stents just behind the occluded IVCF. Venous flow was restored without complications, and the recurrent ulcer healed immediately.

Original languageEnglish
Pages (from-to)116-121
Number of pages6
JournalVascular Specialist International
Volume36
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • Deep vein thrombosis
  • Inferior vena cava filter
  • Postthrombotic syndrome
  • Stents
  • Venous stasis ulcer

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