RevCore thrombectomy system for treatment of chronic left external and common iliac vein stent occlusion

Antonio Solano, MD; Andrea Klein, MD; Gerardo Gonzalez-Guardiola, MD; Khalil Chamseddin, MD; Vivek Prakash, MD; Michael Shih, MD; M. Shadman Baig, MD; Carlos H. Timaran, MD; Melissa L. Kirkwood, MD; Michael C. Siah, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2024)

RevCore thrombectomy system for treatment of chronic left external and common iliac vein stent occlusion

Antonio Solano, MD,
Andrea Klein, MD,
Gerardo Gonzalez-Guardiola, MD,
Khalil Chamseddin, MD,
Vivek Prakash, MD,
Michael Shih, MD,
M. Shadman Baig, MD,
Carlos H. Timaran, MD,
Melissa L. Kirkwood, MD,
Michael C. Siah, MD

Affiliations

Antonio Solano, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Andrea Klein, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Gerardo Gonzalez-Guardiola, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Khalil Chamseddin, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Vivek Prakash, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Michael Shih, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
M. Shadman Baig, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Carlos H. Timaran, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Melissa L. Kirkwood, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Michael C. Siah, MD: Correspondence: Michael C. Siah, MD, UT Southwestern Medical Center, Professional Office Building 1, Ste 620, 5959 Harry Hines Blvd, Dallas, TX 75390-9157; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX

Journal volume & issue: Vol. 10, no. 3
p. 101482

Abstract

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In recent years, deep venous stenting has increasingly become a treatment strategy for post-thrombotic syndrome. Stent thrombosis can occur, resulting in symptom recurrence despite medical therapy, and there are few options available for durable stent patency restoration. We present a case of a 50-year-old male with prior iliocaval reconstruction that experienced recurrent left lower extremity swelling secondary to occlusion of left external iliac and common iliac vein stents during follow-up. Mechanical thrombectomy with the RevCore System and angioplasty was performed. One month later, the patient demonstrated widely patent bilateral iliac vein stents and complete symptomatic resolution. The RevCore System is a feasible alternative for treatment of chronic in-stent thrombosis.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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