Iliac artery stenosis complicating iliac vein stenting in a patient with a history of radiation and cancer: case report and literature review

Annals of Vascular Surgery
Christopher J BuskenWilliam P Shutze

Abstract

Radiation-associated venous stenosis is not as well described in the literature as radiation-induced arteritis and is mainly limited to case reports. Treatment of radiation-associated venous stenosis may be challenged by the patient's comorbidities, such as cancer, compressive tumor, or secondary thrombophilia. The endovascular treatment of venous occlusions is now widespread and is usually the preferred modality. This is especially true for lesions of the iliac venous system. However, the development of arterial stenosis after iliac vein stenting has not previously been reported in the literature as a complication. We present a case of left common iliac artery stenosis developing immediately after left iliac vein stenting for stenosis that developed secondary to extensive pelvic surgery and targeted radiotherapy. This case report illustrates the challenges in treating an iliac vein stenosis in a hostile pelvis, reports a previously unidentified complication of iliac vein stenting, documents the first reported cases of using kissing balloons in an artery and adjacent venous segment, and reviews the literature in regard to iliac vein and inferior vena cava stenting in patients with a history of neoplasm and radiation treatment.

References

Mar 1, 1992·Acta Radiologica·S SawadaS Furui
Jan 1, 1986·Seminars in Surgical Oncology·P D Himmel, J M Hassett
May 1, 1980·The British Journal of Surgery·M J ButlerJ H Webster
Jan 1, 1993·Cancer·M OudkerkG Stoter
Jul 1, 1996·Cardiovascular and Interventional Radiology·G K NazarianD W Hunter
Sep 28, 1998·Archives of Surgery·W S FletcherT Wilmarth
Dec 2, 1998·Australasian Radiology·A D LaingJ I Vrazas
Oct 19, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M PfisterI Baumgartner
Apr 30, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wayne J FranklinRobert J Hall
Jun 26, 2004·Journal of Vascular Surgery·Wei ZhouAlan B Lumsden
Jul 21, 2004·Cardiovascular and Interventional Radiology·Elias N BrountzosPaul C Lakin
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Yukihiro HamaShigeru Kosuda
Jan 10, 2009·Vascular and Endovascular Surgery·Antonios P GasparisJohn J Ricotta
Jun 15, 2011·Journal of Vascular Surgery·Javier E Anaya-AyalaEric K Peden
Sep 25, 2012·Journal of Vascular and Interventional Radiology : JVIR·Yozo SatoYasuaki Arai

❮ Previous
Next ❯

Citations

May 21, 2018·BMJ Case Reports·Fiona Y H KwokAsim Shah
Mar 5, 2021·International Angiology : a Journal of the International Union of Angiology·Jonathan GrandhommeAnne Lejay

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.