Stenting of stenotic or occluded iliofemoral veins, superior and inferior vena cavae in children with congenital heart disease: Acute results and intermediate follow up

Jeffrey R. Frazer, Frank Ing

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objectives: To determine the short and intermediate term outcome following systemic venous stent placement in children with congenital heart disease. Background: Patients with congenital heart disease are at risk of stenosis or occlusion of systemic veins following indwelling lines or catheterizations. Stent dilation may ameliorate symptoms and open the vessel for use during future procedures. We report our acute and intermediate results. Methods: All patients with systemic venous stent placement in the iliofemoral veins, inferior or superior vena cava at our institution between 1998 and 2006 were included. Initial and the follow-up catheterization data were reviewed retrospectively. Results: 70 stents were placed in 33 patients (36 vessels). Median age was 2.6 years (0.2-14.2)and weight 11.5 kg (3.8-78.7). 17/36 vessels (47%) were occluded requiring recanalization. Following stent delivery, the mean minimum vessel diameter increased from 3.1 ± 3.2 to 7.2 ± 3.0 mm (P < 0.001). There were no major complications. Seventeen patients and vessels had a total of 62 follow-up catheterizations, with median length of follow-up 4.1 years (0.7-9.3). During intermediate follow up, 7/17 vessels (41%) required additional intervention. Six patients had additional balloon dilation of existing stents, and one additional stent was placed. Vessels were further dilated to 8.4 ± 3.5 mm at the last catheterization. Conclusion: Systemic venous stents are safe and effective in recanalizing stenosed or occluded vessels. At follow-up, reocclusion can occur, however, previously placed stents can be safely recanalized if necessary. Future studies will determine if stenting is indicated in a broader population.

Original languageEnglish (US)
Pages (from-to)181-188
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume73
Issue number2
DOIs
StatePublished - Feb 26 2009
Externally publishedYes

Fingerprint

Superior Vena Cava
Inferior Vena Cava
Stents
Veins
Heart Diseases
Catheterization
Dilatation
Pathologic Constriction
Weights and Measures

Keywords

  • Congenital heart disease in adults (CHDA)
  • Pediatric interventions (PEDS)
  • Peripheral vascular disease (PVD)
  • Superior vena cava syndrome (SVCS)
  • Total occlusions (OCCL)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

@article{89d714cc4d7047339951cf13f6990479,
title = "Stenting of stenotic or occluded iliofemoral veins, superior and inferior vena cavae in children with congenital heart disease: Acute results and intermediate follow up",
abstract = "Objectives: To determine the short and intermediate term outcome following systemic venous stent placement in children with congenital heart disease. Background: Patients with congenital heart disease are at risk of stenosis or occlusion of systemic veins following indwelling lines or catheterizations. Stent dilation may ameliorate symptoms and open the vessel for use during future procedures. We report our acute and intermediate results. Methods: All patients with systemic venous stent placement in the iliofemoral veins, inferior or superior vena cava at our institution between 1998 and 2006 were included. Initial and the follow-up catheterization data were reviewed retrospectively. Results: 70 stents were placed in 33 patients (36 vessels). Median age was 2.6 years (0.2-14.2)and weight 11.5 kg (3.8-78.7). 17/36 vessels (47{\%}) were occluded requiring recanalization. Following stent delivery, the mean minimum vessel diameter increased from 3.1 ± 3.2 to 7.2 ± 3.0 mm (P < 0.001). There were no major complications. Seventeen patients and vessels had a total of 62 follow-up catheterizations, with median length of follow-up 4.1 years (0.7-9.3). During intermediate follow up, 7/17 vessels (41{\%}) required additional intervention. Six patients had additional balloon dilation of existing stents, and one additional stent was placed. Vessels were further dilated to 8.4 ± 3.5 mm at the last catheterization. Conclusion: Systemic venous stents are safe and effective in recanalizing stenosed or occluded vessels. At follow-up, reocclusion can occur, however, previously placed stents can be safely recanalized if necessary. Future studies will determine if stenting is indicated in a broader population.",
keywords = "Congenital heart disease in adults (CHDA), Pediatric interventions (PEDS), Peripheral vascular disease (PVD), Superior vena cava syndrome (SVCS), Total occlusions (OCCL)",
author = "Frazer, {Jeffrey R.} and Frank Ing",
year = "2009",
month = "2",
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doi = "10.1002/ccd.21790",
language = "English (US)",
volume = "73",
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TY - JOUR

T1 - Stenting of stenotic or occluded iliofemoral veins, superior and inferior vena cavae in children with congenital heart disease

T2 - Acute results and intermediate follow up

AU - Frazer, Jeffrey R.

AU - Ing, Frank

PY - 2009/2/26

Y1 - 2009/2/26

N2 - Objectives: To determine the short and intermediate term outcome following systemic venous stent placement in children with congenital heart disease. Background: Patients with congenital heart disease are at risk of stenosis or occlusion of systemic veins following indwelling lines or catheterizations. Stent dilation may ameliorate symptoms and open the vessel for use during future procedures. We report our acute and intermediate results. Methods: All patients with systemic venous stent placement in the iliofemoral veins, inferior or superior vena cava at our institution between 1998 and 2006 were included. Initial and the follow-up catheterization data were reviewed retrospectively. Results: 70 stents were placed in 33 patients (36 vessels). Median age was 2.6 years (0.2-14.2)and weight 11.5 kg (3.8-78.7). 17/36 vessels (47%) were occluded requiring recanalization. Following stent delivery, the mean minimum vessel diameter increased from 3.1 ± 3.2 to 7.2 ± 3.0 mm (P < 0.001). There were no major complications. Seventeen patients and vessels had a total of 62 follow-up catheterizations, with median length of follow-up 4.1 years (0.7-9.3). During intermediate follow up, 7/17 vessels (41%) required additional intervention. Six patients had additional balloon dilation of existing stents, and one additional stent was placed. Vessels were further dilated to 8.4 ± 3.5 mm at the last catheterization. Conclusion: Systemic venous stents are safe and effective in recanalizing stenosed or occluded vessels. At follow-up, reocclusion can occur, however, previously placed stents can be safely recanalized if necessary. Future studies will determine if stenting is indicated in a broader population.

AB - Objectives: To determine the short and intermediate term outcome following systemic venous stent placement in children with congenital heart disease. Background: Patients with congenital heart disease are at risk of stenosis or occlusion of systemic veins following indwelling lines or catheterizations. Stent dilation may ameliorate symptoms and open the vessel for use during future procedures. We report our acute and intermediate results. Methods: All patients with systemic venous stent placement in the iliofemoral veins, inferior or superior vena cava at our institution between 1998 and 2006 were included. Initial and the follow-up catheterization data were reviewed retrospectively. Results: 70 stents were placed in 33 patients (36 vessels). Median age was 2.6 years (0.2-14.2)and weight 11.5 kg (3.8-78.7). 17/36 vessels (47%) were occluded requiring recanalization. Following stent delivery, the mean minimum vessel diameter increased from 3.1 ± 3.2 to 7.2 ± 3.0 mm (P < 0.001). There were no major complications. Seventeen patients and vessels had a total of 62 follow-up catheterizations, with median length of follow-up 4.1 years (0.7-9.3). During intermediate follow up, 7/17 vessels (41%) required additional intervention. Six patients had additional balloon dilation of existing stents, and one additional stent was placed. Vessels were further dilated to 8.4 ± 3.5 mm at the last catheterization. Conclusion: Systemic venous stents are safe and effective in recanalizing stenosed or occluded vessels. At follow-up, reocclusion can occur, however, previously placed stents can be safely recanalized if necessary. Future studies will determine if stenting is indicated in a broader population.

KW - Congenital heart disease in adults (CHDA)

KW - Pediatric interventions (PEDS)

KW - Peripheral vascular disease (PVD)

KW - Superior vena cava syndrome (SVCS)

KW - Total occlusions (OCCL)

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U2 - 10.1002/ccd.21790

DO - 10.1002/ccd.21790

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C2 - 19156885

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JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

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