Endovascular management of iliac vein occlusive disease

Annals of Vascular Surgery
Eric J LeyFred A Weaver

Abstract

Iliac vein occlusive disease presents with either acute or chronic symptoms, both of which can be managed with endovascular techniques. This report summarizes our experience in a small cohort of patients undergoing percutaneous treatment of iliac vein occlusive disease. Six women and one man with occlusive lesions in the iliac veins are included in this report. All patients reported leg pain and swelling, involving the right leg in one and the left leg in six. Symptoms were acute in one patient and chronic in six. Two patients presented with a chronic stasis ulcer. All patients with chronic symptoms were treated with self-expanding stents deployed across the occlusive lesion. The patient with acute symptoms was treated successfully with thrombolysis, which uncovered a fixed stenosis that was then stented. Post-procedure follow-up with duplex scanning was used for vein patency. No significant complications occurred. All patients reported symptomatic improvement, with four having complete resolution. Duplex scanning showed all treated venous segments to be patent at a mean of 12 months. Recanalization of obstructed iliac vein segments can be performed successfully and leads to improvement in pain and edema in the affected limb. M...Continue Reading

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Citations

Mar 23, 2012·Annals of Vascular Surgery·Matthew K AdamsEric K Peden
Jan 18, 2006·Journal of Vascular and Interventional Radiology : JVIR·Masato YamaguchiKazuro Sugimura
Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Tilo KölbelKrasnodar Ivancev
May 29, 2009·Clinical and Experimental Pharmacology & Physiology·Kazumasa SeijiShoki Takahashi
Sep 15, 2004·The Surgical Clinics of North America·Douglas B Hood, Jason Q Alexander
Jul 8, 2016·Acta chirurgica Belgica·Bert Du PontPatrick Peeters
Mar 17, 2005·Annals of Vascular Surgery·Rajeev DayalPeter L Faries
Jan 1, 2008·Annals of Vascular Diseases·Tilo KölbelKrasnodar Ivancev
Apr 10, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S-M Maksan, T Schmitz-Rixen
Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tilo KölbelKrassi Ivancev
Jul 20, 2010·Journal of Thrombosis and Thrombolysis·Alaa AlhadadAnders Gottsäter

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