PMC4432621_01
Occlusion of the right brachiocephalic vein.
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The examination revealed occlusion of the right brachiocephalic vein (Figure 1) with significant collateral circulation (Figure 2).
Significant collateral circulation.
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The examination revealed occlusion of the right brachiocephalic vein (Figure 1) with significant collateral circulation (Figure 2).
The VCS cannulated via femoral access.
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The VCS was cannulated through the femoral access with 6F/90 cm (Figure 3).
Body-floss technique - guide - wire in the vessel.
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In the next step, the guidewire was caught with a vascular loop located across the occlusion, placed in an introducer and drawn outside of the catheter (Figure 4).
PTA of obstructed vein with 7x40 mm balloon.
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Further on, PTA (percutaneous transluminal angioplasty) of the obstructed vein segment was performed using a 7x40-mm balloon (Figure 5).
First stent implanted into the lumen of the BCV.
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The first stent was implanted into the lumen of the brachiocephalic vein (Figure 6).
Second stent implanted at the distal section of stenosis.
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To provide better stability and flow, its end was placed in the right subclavian vein (Figure 7).