Interventional therapy for left iliac vein stenosis or occlusion
- VernacularTitle:左髂静脉狭窄或闭塞的介入治疗
- Author:
Xiaoqiang LI
;
Hongfei SANG
;
Jianjie RONG
;
Aimin QIAN
;
Pengfei DUAN
;
Liwei ZHU
;
Weimin ZHOU
;
Qingyou MENG
;
Xiaobin YU
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Radiology,interventional;
Angioplasty;
Stents
- From:
Chinese Journal of General Surgery
2008;23(3):190-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate interventional therapy for left iliac vein stenosis or occlusion (left iliac vein compressed syndrome or Cokkett syndrome).Method In this study 316 cases received interventional therapy for left iliac common vein lesions,189 cases underwent staged saphenous vein high ligation and stripping,and 82 cases received external prosthetic sleeve valvuloplasty.Two hundred and thirty-one cases were followed up from 6 to 120 months(average 52 months),with all cases being evaluated by colour ultrasound,and among those 116 cases received venography.Results The stenosis or occlusive segments of left iliac vein were successfully dilated in 305 cases,of which 272 cases received stents implanting therapy.There was no inhospital mortality nor pulmonary embolism.According to following up results.the symptom of varicose vein disappeared in about 95.8%patients.and the symptom of leg swelling disappeared or dramatically relieved in about 95.7%cases.among which 74%leg ulcers were completely healed.Stents were occluded by thrombus during venography in about 5.4%. Conclusions The long term result of interventional therapy is satisfactory for left iliac vein stenosis or occlusion caused by Cockett syndrome.
