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Endovascular mechanical thrombectomy of iliofemoral venous stent occlusion with the novel RevCore thrombectomy system: Case reports and literature review

Christopher Montoya, Camilo Polanía-Sandoval, José I. Almeida

2024Journal of Vascular Surgery Cases and Innovative Techniques11 citationsDOIOpen Access PDF

Abstract

Venous in-stent restenosis is not completely understood, and the currently available treatment is usually unsatisfactory. We describe the cases of two patients treated with the RevCore thrombectomy system (Inari Medical), designed for venous in-stent thrombosis. Case 1 involves a 62-year-old woman with post-thrombotic syndrome from iliac vein stent placement 15 years earlier. Case 2 describes a 30-year-old woman with post-thrombotic syndrome from recurrent iliac vein stent occlusion, despite therapeutic anticoagulation. Both patients had previous recanalization attempts at outside facilities that were unsuccessful. The RevCore system was safe and feasible in these initial cases, and more studies are warranted.

Topics & Concepts

MedicineRestenosisSurgeryStentOcclusionPost-thrombotic syndromeThrombosisRadiologyGraft occlusionVeinVenous thrombosisArteryVenous Thromboembolism Diagnosis and ManagementCentral Venous Catheters and HemodialysisDiagnosis and Treatment of Venous Diseases
Endovascular mechanical thrombectomy of iliofemoral venous stent occlusion with the novel RevCore thrombectomy system: Case reports and literature review | Litcius