Illusory Angiographic Signs of Significant Iliac Vein Compression in Healthy Volunteers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Timme M A J van VuurenRick de Graaf

Abstract

Iliac vein compression syndrome can cause severe leg symptoms. In clinical practice, it remains a challenge to differentiate which compression is clinically relevant. The aim of the current study was to assess the general treatment indications and the prevalence of angiographic signs of iliac vein compression in a group of healthy participants. This was a prospective cohort study. A total of 20 healthy volunteers (median age 21, range 20-22 years) were recruited through advertisement and underwent angiography of the iliac veins. When no compression signs were present, a balloon occlusion was performed. Additionally, a 10 item survey regarding indications for venous stenting was developed and sent to 30 vascular specialists treating patients with deep venous obstruction. In 16 (80%) participants, at least two signs indicative of May-Thurner compression were seen. In three (15%) subjects, narrowing of the common iliac vein without collaterals was shown and one (5%) did not show any signs of obstruction. In 23 (70%) of the survey responders, collaterals were found to be the most typical sign indicative of significant venous obstruction. An angiographic sign of >50% compression was found to be an indication to stent in 55% of respo...Continue Reading

Citations

Jul 28, 2019·International Angiology : a Journal of the International Union of Angiology·Pier-Luigi AntignaniMarald Wikkeling
Jan 23, 2021·Surgical and Radiologic Anatomy : SRA·Jiaying LiZhichao Sun
Sep 9, 2021·Phlebology·Romulo Armenta FloresLuis G Dominguez Carrillo

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