Iliocaval reconstruction with metallic stents.

Abstract

Percutaneous stenting is now the preferred first line of treatment for occlusive lesions of the great veins. A case is presented in which multiple metallic stents were used to reestablish communication between the suprahepatic inferior vena cava and both iliac veins. The clinical result was satisfactory: venous claudication was relieved, and the progress of chronic venous insufficiency arrested. Stent implantation offers a minimally invasive therapeutic option even when extensive revascularisation is indicated.