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

Christopher Montoya; Camilo Polania-Sandoval; Jose I Almeida

doi:10.1016/j.jvscit.2024.101432

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

J Vasc Surg Cases Innov Tech. 2024 Feb 14;10(3):101432. doi: 10.1016/j.jvscit.2024.101432. eCollection 2024 Jun.

Authors

Christopher Montoya¹, Camilo Polania-Sandoval¹, Jose I Almeida¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, DeWitt Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.

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.

Keywords: Case report; In-stent restenosis; In-stent thrombosis; Mechanical thrombectomy; RevCore.

Publication types

Case Reports