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Review
. 2018 Jul-Sep;14(3):214-218.
doi: 10.14797/mdcj-14-3-214.

Endovascular Therapy for Central Venous Thrombosis

Adam M Gwozdz  1 , Justinas Silickas  1 , Alberto Smith  1 , Prakash Saha  1 , Stephen A Black  1
Affiliations
Review

Endovascular Therapy for Central Venous Thrombosis

Adam M Gwozdz et al. Methodist Debakey Cardiovasc J. 2018 Jul-Sep.

Abstract

Central vein thrombosis is defined as thrombosis of the major vessels draining either the upper or lower extremities. It presents most commonly in the upper limb, where it affects the subclavian veins and the superior vena cava; in the lower limb, it affects the common iliac veins and the inferior vena cava. These different anatomical segments pose unique challenges in both acute and chronic settings, and this article will summarize the current best practice treatment options.

Keywords: central vein thrombosis; endovascular reconstruction; inferior vena cava; superior vena cava; thrombosis.

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Conflict of interest statement

Conflict of Interest Disclosure: Dr. Black is a consultant for Cook Medical, C. L. Bard, Inc., W. L. Gore & Associates, Inc., VENITI, Inc., Phillips Healthcare, Medtronic, Boston Scientific, and OptiMed.

Figures

Figure 1.
Figure 1.
A 63-year-old man with superior vena cava reconstruction with the WALLSTENT (Boston Scientific Corp.) following obstruction secondary to a hemodialysis line. (A) Pre-stent venogram, (B) pre-stent dilatation with balloon, and (C) post-stent venogram.
Figure 2.
Figure 2.
A 34-year-old woman with left arm deep vein thrombosis secondary to cardiac pacemaker insertion for Brugada syndrome. The procedure included removal and replacement of the cardiac pacemaker, first rib resection, and insertion of a nitinol venous stent (Cook Zilver Vena). (A) Pre-stent venogram and (B) post-stent venogram.
See this image and copyright information in PMC

Comment in

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