Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach

Endovascular recanalization of chronic total aortoiliac occlusion is technically challenging. Inability to reenter the true aortic lumen, following retrograde iliac recanalization, is one of the most common causes of failure. We describe a case of a total aortoiliac occlusion where balloon occlusion of the right common iliac artery, following its recanalization from a brachial approach, was used to facilitate antegrade recanalization of the occluded contralateral left common iliac artery.

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Management of Superior Vena Cava Occlusion Causing Bleeding “Downhill” Esophageal Varices

Journal of Endovascular Therapy ◽

10.1177/1526602821989330 ◽

2021 ◽

pp. 152660282198933

Author(s):

Pablo V. Uceda ◽

Julio Peralta Rodriguez ◽

Hernán Vela ◽

Adelina Lozano Miranda ◽

Luis Vega Salvatierra ◽

...

Keyword(s):

Superior Vena Cava ◽

Esophageal Varices ◽

Superior Vena ◽

Vena Cava ◽

Central Venous Catheters ◽

Dialysis Patients ◽

Central Venous ◽

Endovascular Recanalization ◽

Flow Through ◽

The Right

The health care system in Peru treats 15,000 dialysis patients annually. Approximately 45% of patients receive therapy using catheters. The incidence of catheter-induced superior vena cava (SVC) occlusion is increasing along with its associated significant morbidity and vascular access dysfunction. One of the unusual manifestations of this complication is bleeding “downhill” esophageal varices caused by reversal of blood flow through esophageal veins around the obstruction to the right atrium. Herein is presented the case of an 18-year-old woman on hemodialysis complicated by SVC occlusion and bleeding esophageal varices who underwent successful endovascular recanalization of the SVC. Bleeding from “downhill” esophageal varices should be considered in the differential diagnosis of dialysis patients exposed to central venous catheters. Aggressive endovascular treatment of SVC occlusion is recommended to preserve upper extremity access function and prevent bleeding from this complication.

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Reply to Letter to the Editor “Concern on article “Predicting procedure successful rate and 1-year patency after endovascular recanalization for chronic carotid artery occlusion by CT angiography””

International Journal of Cardiology ◽

10.1016/j.ijcard.2016.11.284 ◽

2017 ◽

Vol 229 ◽

pp. 60

Author(s):

Hon-Man Liu ◽

Chung-Wei Lee

Keyword(s):

Carotid Artery ◽

Ct Angiography ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Endovascular Recanalization ◽

Letter To The Editor

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Techniques for Endovascular Recanalization of Supra-Aortic Trunks

Journal of Endovascular Therapy ◽

10.1177/152660289600300408 ◽

1996 ◽

Vol 3 (4) ◽

pp. 405-413 ◽

Cited By ~ 3

Author(s):

Frank J. Criado ◽

Mordechai Twena

Keyword(s):

Balloon Angioplasty ◽

High Flow ◽

Occlusive Disease ◽

Endovascular Recanalization ◽

Endovascular Interventions ◽

Atherosclerotic Occlusive Disease ◽

Angioplasty And Stenting ◽

Aortic Lesions

The supra-aortic arteries are no stranger to endovascular interventions. Since the 1980s, interventionists have been evaluating and refining the use of transluminal techniques for recanalizing stenotic and occlusive lesions in these large-bore, high-flow vessels. The authors present their methodologies for evaluating, selecting, and treating supra-aortic lesions with balloon angioplasty and stenting. Helpful suggestions are offered for optimizing the outcome of these endovascular approaches to atherosclerotic occlusive disease in the supra-aortic trunks.

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