Endovascular treatment of iliac vein compression syndrome:analysis of 33 cases
10.3760/cma.j.issn.1673-4904.2014.32.018
- VernacularTitle:腔内疗法治疗髂静脉受压综合征33例分析
- Author:
Yuanbing WU
;
Yunfeng ZHU
;
Hongwei GE
;
Yongbin ZHU
;
Yunfei JIANG
;
Cheng CHEN
;
Yiming HUANG
- Publication Type:Journal Article
- Keywords:
Iliac vein compression syndrome;
Endovascular treatment;
Stents
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(32):47-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of the endovascular treatment of iliac vein compression syndrome.Methods Thirty-three patients with iliac vein compression syndrome were treated with endovascular treatment.Of which,edema and varicose vein of the left lower extremity in 29 patients,complicated with acute deep vein thrombosis of left lower extremity in 3 patients,post deep venous thrombosis syndrome in 1 patient.Balloon dilatation and stent implantation were performed in all 33 patients.The diameter of balloon was 10-12 mm,diameter 12-14 mm Bard self expandable stent.Five patients with varicose vein and ulcer of left lower extremity were treated with two stage operation.Results The diagnosis was confirmed by left lower extremity deep veins angiography.There was no death patient,and no hematoma of hematoma locus.Follow-up for 3-30 months,the rate of follow-up was 100％(33/33).The edema of the lower extremity was markedly reduced or disappeared in 28 patients.Color Doppler ultrasound and left lower extremity angiography showed that the stent was unobstructed,no stent occlusion and new onset thrombosis cases.Conclusion Endovascular treatment is safe,effective with few complications,and is the first choice for the treatment of iliac vein compression syndrome.
