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Percutaneous venous interventions

S M Bravo1, R D Reinhart, M F Meyerovitz

  • 1Department of Radiology, Brigham and Women's Hospital, Boston, MA 02118, USA.

Vascular Medicine (London, England)
|July 17, 1998
PubMed
Summary

Interventional radiologists use minimally invasive percutaneous procedures to treat complex venous thrombotic diseases. These techniques, including filter placement, thrombolysis, angioplasty, stenting, and thrombectomy, offer advanced options for patient management.

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Area of Science:

  • Interventional Radiology
  • Vascular Medicine
  • Cardiovascular Surgery

Background:

  • Complex venous thrombotic diseases require advanced treatment strategies.
  • Interventional radiology offers minimally invasive solutions for venous conditions.

Purpose of the Study:

  • To review percutaneous procedures used in managing complex venous thrombotic diseases.
  • To highlight the role of interventional radiology in venous care.

Main Methods:

  • Inferior vena cava (IVC) filter placement for anticoagulation failure.
  • Catheter-directed thrombolysis for extensive iliofemoral deep venous thrombosis.
  • Venous angioplasty and stenting for stenoses in dialysis shunts, upper extremities, and bypass grafts.
  • Suction and mechanical thrombectomy/embolectomy for acute venous interventions.

Main Results:

  • Percutaneous procedures are increasingly integral to venous disease management.
  • These interventions address a range of venous pathologies from thrombotic events to stenotic lesions.
  • Newer thrombectomy techniques expand therapeutic options.

Conclusions:

  • Interventional radiology provides a spectrum of percutaneous treatments for complex venous thrombotic diseases.
  • These minimally invasive procedures are crucial for optimizing patient outcomes in vascular care.
  • Technological advancements continue to enhance the management of venous disorders.

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