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Title: Unintentional Myelography During an Attempted Venous Recanalization of the Left Common Iliac Vein

Abstract

No abstract prepared.

Authors:
;  [1]
  1. Charité-Universitätsmedizin, Department of Radiology (Germany)
Publication Date:
OSTI Identifier:
22645364
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 1; Conference: BSIR 2016: Britisch Society of Interventional Radiology 2016 annual meeting, Manchester (United Kingdom), 15-17 Nov 2016; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; DIAGNOSIS; IMAGE PROCESSING; THERAPY; VASCULAR DISEASES; VEINS

Citation Formats

Pociej, Joanna Zofia, E-mail: joanna-zofia.pociej@charite.de, and Bucourt, Maximillian de. Unintentional Myelography During an Attempted Venous Recanalization of the Left Common Iliac Vein. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1457-4.
Pociej, Joanna Zofia, E-mail: joanna-zofia.pociej@charite.de, & Bucourt, Maximillian de. Unintentional Myelography During an Attempted Venous Recanalization of the Left Common Iliac Vein. United States. doi:10.1007/S00270-016-1457-4.
Pociej, Joanna Zofia, E-mail: joanna-zofia.pociej@charite.de, and Bucourt, Maximillian de. Sun . "Unintentional Myelography During an Attempted Venous Recanalization of the Left Common Iliac Vein". United States. doi:10.1007/S00270-016-1457-4.
@article{osti_22645364,
title = {Unintentional Myelography During an Attempted Venous Recanalization of the Left Common Iliac Vein},
author = {Pociej, Joanna Zofia, E-mail: joanna-zofia.pociej@charite.de and Bucourt, Maximillian de},
abstractNote = {No abstract prepared.},
doi = {10.1007/S00270-016-1457-4},
journal = {Cardiovascular and Interventional Radiology},
number = 1,
volume = 40,
place = {United States},
year = {Sun Jan 15 00:00:00 EST 2017},
month = {Sun Jan 15 00:00:00 EST 2017}
}
  • Endovascular treatment has emerged as a first-line treatment for venous occlusions, but is sometimes challenging with conventional approaches. This article describes a helpful technique using a Roesch-Uchida needle to cross a chronic occlusion of the iliac vein when conventional techniques have failed.
  • PurposeThe study aimed to introduce a monorail technique to overcome difficult anatomical course via left internal jugular vein in implantable port insertion.MethodsFrom 2007 to 2016, a total of 9346 patients were referred for implantable port insertion in our interventional unit, among which 79 cases were requested to insert on the left side. Our monorail technique was applied only when the technical challenge of the catheter tip entering the azygos vein instead of the superior vena cava occurred (n = 7). The technique consists of puncturing at the distal tip of the port catheter with a 21-gauge micropuncture needle and advancing a 0.018-in.more » hair-wire to guide and provide support for pre-assembled port.ResultsThe monorail technique was performed in seven patients and all but one case were technically successful, showing a technical success rate of 85.7%. There were no immediate or delayed complications.ConclusionsThe monorail technique is helpful to overcome the difficult anatomical course via left internal jugular vein in implantable port insertion.« less
  • Endovascular treatment of iliac artery occlusions can be unsuccessful due to a failure to break back into the true lumen, and lesions without a proximal stump can be particularly problematic. True lumen re-entry catheters have not been previously used for this type of lesion. The authors report eight patients, five males and three females, with lifestyle-limiting intermittent claudication referred for endovascular treatment. Imaging demonstrated unilateral chronic total occlusion of the common iliac artery in six patients and two patients with short patent stumps at the origin of the occluded common iliac artery. Endovascular therapy was initially unsuccessful due to anmore » inability to re-enter the true lumen after crossing the occlusion in the subintimal plane. With the assistance of the Outback LTD catheter it was possible to achieve continuity of the dissecting tract with the true lumen, thus facilitating successful primary stenting in all eight patients. To our knowledge this is the first report of the use of the Outback LTD catheter in this type of lesion.« less
  • We describe a case of successful recanalization of a longstanding right common iliac occlusion with a radiofrequency (RF) guidewire. The patient had been symptomatic with claudication for 3 years, and a preliminary attempt to cross the lesion using conventional techniques proved unsuccessful. Using low and medium intensity RF pulses and a PowerWire, a tract through the occlusion was established, which allowed subsequent stenting with an excellent angiographic result and a good immediate clinical response. We propose this as a useful technique in the peripheral arterial system for occlusive lesions not amenable to traditional recanalization techniques.
  • We present a case of acute small-bowel bleeding from the collateral artery of the superior mesenteric-left deep circumflex iliac artery that was successfully managed by transarterial coil embolization.