scholarly journals Percutaneous Treatment to Inferior Vena Cava Perforation by Intracardiac Echocardiography Catheter after an Unsuccessful Conservative Approach

2021 ◽  
pp. 84-90
Author(s):  
Fabricio Vassallo ◽  
Rodrigo França ◽  
Carlos Volponi Lovatto ◽  
Bruno Carvalho ◽  
Alessandra Cardoso ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vascular Complications ◽  
High Volume ◽  
Percutaneous Treatment ◽  
Intracardiac Echocardiography ◽  
Conservative Approach ◽  
Established Treatment ◽  
Intracardiac Echocardiogram

Catheter ablation is a well-established treatment for drug refractory arrhythmia, and intracardiac echocardiography is one of the tools used for this purpose. Despite a high volume of procedures performed worldwide, the incidence of vascular complications is still very low. We describe a case report of a percutaneous treatment to an inferior vena cava perforation by an intracardiac echocardiogram catheter after the failure of a conservative approach.

Right Varicocele Associated with Inferior Vena Cava Malformation in Situs Inversus: Percutaneous Treatment with Retrograde Sclerotherapy

2001 ◽  
Vol 15 (10) ◽  
pp. 1001-1003 ◽  
Author(s):  
Paolo Preziosi ◽  
Roberto Miano ◽  
Marco Bitelli ◽  
Maria Grazia Ciolfi ◽  
Salvatore Micali ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Situs Inversus ◽  
Inferior Vena ◽  
Vena Cava ◽  
Percutaneous Treatment

scholarly journals METHOD FOR DESIGNING SURGICAL ACCESS FOR ADRENALECTOMY USING 3D-MODELING

2020 ◽  
Vol 23 (2) ◽  
pp. 165-171
Author(s):  
P. N. Romashchenko ◽  
I. S. Zheleznyak ◽  
N. A. Maistrenko ◽  
S. G. Bliumina
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Left Kidney ◽  
Three Dimensional ◽  
Vena Cava ◽  
Vascular Complications ◽  
Risk Criteria ◽  
Surgical Access ◽  
Preoperative Ct ◽  
The Right

In the literature, insufficient attention is paid to the preoperative planning of the approach to adrenal glands using the modern capabilities of computed tomography (CT) navigation. The aim of the work was to demonstrate the possibilities of designing safe access for adrenalectomy using three-dimensional printed models based on preoperative CT data. The possibilities of preoperative access design for edrenalectomy were studied in 362 adrenal tumor patients who underwent CT imaging on Aquillion 64 (Toshiba, Japan), followed by post-processor image processing, construction of multi-plane and 3D reconstructions. All patients were divided into retrospective (n=157) and prospective (n=205) groups. In 3 clinical cases, preoperative access design was supplemented by the creation of a three-dimensional printed model of the adrenal gland with a tumor using the Slicer 4.10.1 software. Reliable anthropometric (body mass index, body shape) and CT-criteria for designing surgical access to the left and right adrenals were determined: diameter of formation; tumor syntopy in relation to the walls of the inferior vena cava; the length of the central adrenal vein and the place where it flows into the inferior vena cava; the location of the tumor relative to the inferior vein of the right lobe of the liver, as well as relative to the gate of the right kidney; location near the aortic-renal vascular triangle, gate of the left kidney and spleen vessels. Three patients with a borderline number of risk criteria for the development of vascular complications associated with the technical difficulties of adrenalectomy (for right adrenals≥4, for left adrenals≥3) underwent CT-segmentation of images with the subsequent creation of three-dimensional plates - a model of an NP tumor with neighboring organs and vessels. Preoperative CT design of the approach, taking into account the risk criteria for complications and the use of 3-D printed models, can reasonably apply endoscopic and open options for adrenalectomy, significantly improving the immediate results of treatment of patients.

scholarly journals Transjugular approach for zero-fluoroscopy catheter ablation of the right anterolateral accessory pathway

2019 ◽  
Vol 88 (9-10) ◽  
pp. 464-67
Author(s):  
Tine Prolič Kalinšek ◽  
David Žižek ◽  
Matevž Jan
Keyword(s):  
Catheter Ablation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Accessory Pathway ◽  
Three Dimensional ◽  
Vena Cava ◽  
Intracardiac Echocardiography ◽  
Congenital Agenesis ◽  
The Right ◽  
Zero Fluoroscopy

We present a case of successful zero-fluoroscopy catheter ablation (CA) of the right anterolateral accessory (AP) pathway via a transjugular approach in an 18-year-old patient with a congenital agenesis of inferior vena cava (IVC). Three-dimensional (3D) electroanatomic mapping (EAM) system and intracardiac echocardiography (ICE) were used to navigate the catheters in the heart.

scholarly journals Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Maja Strozzi ◽  
Kristina Maric Besic ◽  
Knezevic Stromar Ivana ◽  
Anić Darko
Keyword(s):  
Inferior Vena Cava ◽  
Balloon Angioplasty ◽  
Inferior Vena ◽  
Vena Cava ◽  
Percutaneous Treatment ◽  
Right Atrial ◽  
Budd Chiari Syndrome ◽  
Inferior Vena Cava Obstruction ◽  
Chiari Syndrome ◽  
Atrial Tumor

Abstract Background Budd-Chiari syndrome is defined as a hepatic venous outflow track obstruction of various etiology, which appears at different levels. The inferior vena cava outflow membrane is an unusual, but a potentially treatable cause. The percutaneous treatment has emerged as a very promising management mode for such patients. Follow-up results are favorable for balloon angioplasty and/or stenting, with minimal re-stenosis rates. Case presentation We report a case of a young woman, earlier operated on congenital heart defect and with previous pulmonary embolic incident after childbirth, with no evidence of thrombophilia. She was admitted to our institution for a suspected right atrial tumor. After the diagnosis of Budd-Chiari syndrome caused by membranous inferior vena cava obstruction, a percutaneous treatment of a thick membrane was successfully performed, using an unusual technique. Conclusion Balloon angioplasty should be considered in cases of membranous obstruction of vena cava, where a focal obstruction is causing the symptoms. In our patient, the anatomy was not suitable for stenting, and balloon dilatation was successful just after the membrane was pulled apart with a big balloon in a “Rashkind-like” procedure.

An evaluation of vascular anatomy for minilaparotomic anterior L4–5 procedures

2006 ◽  
Vol 5 (6) ◽  
pp. 508-513 ◽  
Author(s):  
Byung-Uk Kang ◽  
Sang-Ho Lee ◽  
Sang-Hyeop Jeon ◽  
Jong Dae Park ◽  
Dae Hyeon Maeng ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vascular Complications ◽  
Vascular Anatomy ◽  
Type A ◽  
Magnetic Resonance Images ◽  
Lumbar Surgery ◽  
Type B ◽  
Surgical Exposure

Object The complexity of the vascular anatomy pertinent to the L4–5 intervertebral disc space has led to difficulties when performing the anterior approach to the lumbar spine. The purpose of the present study was to evaluate the variations of the great vessels to match the imaging-documented axial anatomy with the surgical exposure. Methods The authors analyzed data obtained in 223 patients who had undergone mini–open anterior lumbar surgery involving the L4–5 disc. The preoperative magnetic resonance images or computed tomography scans were evaluated by examiners blinded to the surgical approach to determine the vascular configuration. All complications of the procedures were described. Two major variations of the vascular configuration were delineated according to the location of the bifurcation of the inferior vena cava. On images showing the lower margin of the L-4 vertebra, the anatomy in 182 patients (81%) was classified as Type A because the inferior vena cava (IVC) was not bifurcated; in 38 patients (17%) it was classified as Type B because the IVC was bifurcated. Type A could be subdivided into Types A1 and A2 according to whether the aorta was bifurcated (A2) or not (A1) on the same image. The surgical exposure used was above the bifurcations (in Type A) and below the bifurcations (in Type B). The major complications were three venous injuries, and the leading complication was sympathetic dysfunction in 14 patients, which in most cases resolved spontaneously. Conclusions Careful preoperative evaluation of the vascular anatomy is essential to conducting successful anterior lumbar surgery. The determination of an appropriate approach can contribute to a reduction of unnecessary vascular retraction and a consequent decrease in vascular complications.

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