Figure 1

JFV route establishment and IVC recanalization. (a) A segmental occlusion was shown in the suprahepatic IVC by venography via femoral access. (b) Downward recanalization was performed via jugular access after transfemoral access failed. (c) A 0.035-inch stiff guide wire was introduced into the distal IVC, and a gooseneck capture was introduced to pull out the guide wire. (d) Venography was performed via a 14 F long sheath after JFV route establishment. (e) Angioplasty was performed using a large balloon (30Â mm diameter). (f) Venography confirmed successful recanalization and widely patent IVC without bleeding.