Document Detail

A unique approach in the management of vena caval thrombosis in a patient with Klippel-Trénaunay syndrome.
MedLine Citation:
PMID:  9240337     Owner:  NLM     Status:  MEDLINE    
Vena caval thrombosis has posed a surgical therapeutic challenge for many years. Historically, spiral vein grafts and synthetic materials used as prostheses have had variable results. The use of the stent may serve as a more promising alternative when used in the capacity to relieve caval obstruction. A case is reported in which a young woman with Klippel-Trénaunay syndrome has exercise intolerance and associated hypotensive cardiovascular collapse caused by inferior vena caval thrombosis. Recanalization of her inferior vena cava was successfully achieved and subsequently maintained through the placement of two Wallstents across the lesion. Although most venous stenting procedures have thus far been used in the treatment of venous obstruction caused by malignancy, inferior vena cava stenting in this patient with inferior vena caval thrombosis and Klippel-Trénaunay syndrome suggests that venous stenting might offer an alternative therapeutic modality in treating a broader spectrum of occlusive venous disease.
D H Stone; M A Adelman; R J Rosen; T S Riles; P J Lamparello; G R Jacobowitz; C B Rockman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  26     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-08-21     Completed Date:  1997-08-21     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
Department of Surgery, New York University Medical Center, NY 10016, USA.
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MeSH Terms
Hypotension / etiology
Klippel-Trenaunay-Weber Syndrome / complications*
Thrombosis / complications,  radiography,  surgery*
Vena Cava, Inferior* / radiography,  surgery

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