Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2023)

Azygos vein stenting as an alternate route for inferior vena cava obstruction

  • Christopher Montoya, MD,
  • Camilo Polanía-Sandoval, MD,
  • Jose I. Almeida, MD, FACS

Journal volume & issue
Vol. 9, no. 4
p. 101351

Abstract

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Chronic venous insufficiency, caused by inferior vena cava occlusion, can lead to thromboembolic complications and tissue loss. We present two cases of azygos vein stenting (AVS) in which vena cava recanalization techniques were exhausted. In the first case, the left iliac vein and vena cava were recanalized and stented; however, the right iliac vein had been previously resected and required AVS. Conventional recanalization attempts from the right and left iliac systems failed in the second patient with congenital inferior vena cava occlusion; therefore, AVS was chosen to establish in-line drainage

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