Endovascular treatment of iliac vein disease via great saphenous vein approach
10.3760/cma.j.cn113855-20230914-00137
- VernacularTitle:经大隐静脉入路髂静脉病变的腔内治疗
- Author:
Ming XUE
1
;
Yunbiao GUAN
;
Yadong ZHOU
;
Xuexun ZHENG
Author Information
1. 福建医科大学附属协和医院血管外科，福州 350000
- Keywords:
Saphenous vein;
Radiology, interventional;
Iliac vein compression syndrome
- From:
Chinese Journal of General Surgery
2024;39(3):203-206
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and clinical value of endovascular treatment of iliac vein disease via the great saphenous vein approach.Methods:Eighty-six patients with nonthrombotic left iliac vein compression lesions identified by anterograde lower limb vein angiography were divided into 2 groups: group A ( n=46) was treated via great saphenous vein and group B ( n=40) was treated via femoral vein. The success rate of puncture, time consuming of puncture catheterization, postoperative bed immobilization and complication rate of puncture were observed and compared between the two groups. Results:The puncture success rate was 97.8% (45/46) in group A and 100% (40/40) in group B, there was no significant difference between the two groups（ P>0.05）. The average puncture time was (9.4±2.7) min in group A and (5.5±1.3) min in group B ( P<0.05). The complication rate of group A was lower than that in group B ( P<0.05). The patency rate of iliac vein stent was 100%, as indicated by venous color ultrasound or angiography. Conclusion:Endovascular treatment of iliac vein disease via great saphenous vein approach is a safe and feasible method with less trauma and easier postoperative care.
