Background: Chronic total venous occlusion of superior or inferior vena cava is increasingly
encountered in daily practice. Several endovascular techniques including thrombolysis,
percutaneous transluminal angioplasty (PTA), bare and covered metallic stents have
been implemented to restore venous patency. Patients who fail standard recanalization
techniques may require sharp recanalization procedures to reconstruct the chronically
occluded segments. Several tools have been used to cross the occluded segments such
as TIPS needles, trans septal needle, direct trans mediastinal needle puncture and
radiofrequency wire. The use of re-entry devices in crossing chronic venous occlusions
is seldom reported in the literature. Method(s): This educational poster will present few illustrative cases of the use of Outback
re-entry device in recanalization of chronically occluded IVC and SVC with discussion
of technical considerations. Result(s): This educational poster will present few illustrative cases of the use of Outback
re-entry device in recanalization of chronically occluded IVC and SVC with discussion
of technical considerations. Conclusion(s): Sharp recanalization of chronic venous occlusions utilizing Outback re-entry device
is a safe and reliable way to cross the central occlusion with good success rate.
