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Updated: Jan 9, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

Splanchnic vein reconstruction using dedicated venous stents.

Gabe E Li¹, Jeffrey Forris Beecham Chick², David S Shin²

¹Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA.

Journal of Vascular Surgery Cases and Innovative Techniques

|December 11, 2025

Summary

This summary is machine-generated.

Dedicated venous stents are feasible for splanchnic vein reconstruction, showing high technical success and good clinical outcomes. This approach offers promising short-term stent patency for patients with venous obstruction.

Keywords:

Splanchnic thrombosis Splanchnic veins Venous reconstruction Venous stents

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Area of Science:

Vascular Surgery
Interventional Radiology
Gastroenterology

Background:

Dedicated venous stents are typically used for iliofemoral and thoracic central veins.
Splanchnic venous obstruction can lead to significant morbidity, including abdominal pain, ascites, and variceal hemorrhage.

Purpose of the Study:

To assess the feasibility and outcomes of deploying dedicated venous stents in splanchnic veins.
To evaluate technical success, clinical success, and stent patency in patients undergoing splanchnic vein reconstruction.

Main Methods:

Retrospective review of 22 patients who underwent splanchnic vein reconstruction using dedicated venous stents.
Assessment of technical success (stent deployment) and clinical success (symptom improvement).
Evaluation of stent patency using contrast-enhanced CT and Doppler ultrasound.

Main Results:

High technical success rate of 100% in stent deployment across main portal, superior mesenteric, and splenic veins.
Clinical success achieved in 77% of patients, with improvement in symptoms like abdominal pain, ascites, and variceal hemorrhage.
Estimated 1-year primary stent patency rate of 83%.

Conclusions:

Dedicated venous stents are a feasible option for splanchnic vein reconstruction.
The procedure demonstrates high technical success, favorable clinical outcomes, and promising short-term patency.
This technique offers a viable solution for managing splanchnic venous obstruction.