Acute Iliofemoral Deep Vein Thrombosis: Evaluation of Underlying Anatomic Abnormalities by Spiral CT Venography

Chung, Jin Wook; Yoon, Chang Jin; Jung, Sung Il; Kim, Hyo Cheol; Lee, Whal; Kim, Young Il; Jae, Hwan Jun; Park, Jae Hyung

doi:10.1097/01.rvi.0000109402.52762.8d

Cited by 168 publications

(107 citation statements)

References 18 publications

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“…The presence of collaterals is indicative of a relevant stenosis. Iliocaval obstruction and associated abnormalities can also be detected by magnetic resonance (MR) venography and computed tomography (CT) venography, which may replace invasive studies in the future [27,28]. Both, MR imaging and CT are suited, although not perfect, for diagnosing May-Thurner syndrome, with the left common iliac vein being compressed by the overlying right common iliac artery [29,30].…”

Section: Pretreatment Imagingmentioning

confidence: 99%

CIRSE Standards of Practice Guidelines on Iliocaval Stenting

Mahnken

Thomson

Haan

et al. 2014

Cardiovasc Intervent Radiol

109

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Chronic venous insufficiency (CVI) as an advanced stage of chronic venous disease is a common problem that occurs in approximately 1-5 % of the adult population. CVI has either a nonthrombotic (primary) or postthrombotic (secondary) cause involving reflux, obstruction, or a combination of both. The role of venous obstruction is increasingly recognized as a major cause of CVI, with obstructive lesions in the iliocaval segment being markedly more relevant than lesions at the levels of the crural and femoral veins. Approximately 70-80 % of iliac veins develop a variable degree of obstruction fol-

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Section: Pretreatment Imagingmentioning

confidence: 99%

CIRSE Standards of Practice Guidelines on Iliocaval Stenting

Mahnken

Thomson

Haan

et al. 2014

Cardiovasc Intervent Radiol

109

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“…While 24% of an asymptomatic population have a greater than 50% compression of the left common iliac vein on CT, 84% of patients with iliofemoral DVT have such an anatomical condition on CT venography. 6,7) Chronic obstruction in combination with coagulation disorders and other hypercoagulable risk factors appears to be a requirement for the development of an extensive thrombosis in the iliofemoral segment. We found underlying stenosis/occlusions in 36 of 44 treated limbs (82%) with acute iliofemoral thrombosis at our institution.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Treatment of Venous Occlusive Disease

Kölbel

Gottsäter

Kühme

et al. 2008

Annals of Vascular Diseases

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“…CDU is the fi rst-line method used to screen patients with CVI disorders, and can detect DVT. 17,18) However, the technique cannot accurately identify venous spurs or compression of the LCIV. If MTS is suspected in patients subjected to ultrasonography, cross-sectional imaging (CT venography, magnetic resonance angiography) or venography should be used to accurately visualize the pelvic region.…”

Section: Resultsmentioning

confidence: 99%

Endovascular Treatment of Iliac Vein Compression (May-Thurner) Syndrome: Angioplasty and Stenting with or without Manual Aspiration Thrombectomy and Catheter-Directed Thrombolysis

Bozkaya

Çınar

Ertugay

et al. 2015

Annals of Vascular Diseases

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Purpose: May-Thurner syndrome (MTS) is a rare clinical entity featuring venous obstruction of the left lower extremity. The aim of the present study was to report our experience with MTS and to evaluate the utility of treatment using endovascular techniques. Materials and Methods:We retrospectively analyzed data on 23 MTS patients (21 females, two males; mean age 44 ± 15 years). Eighteen patients presented with deep vein thrombosis (DVT) and fi ve with symptoms associated with chronic venous hypertension (CVH). DVT patients were treated via thromboaspiration, catheter-directed thrombolysis, and angioplasty; followed by stent placement. CVH patients were treated with angioplasty and stent placement alone. All patients were followed-up using Doppler ultrasonography and computed tomography venography. Results: Complete left common iliac vein patency was achieved in 21 of the 23 patients (technical success rate: 91,3%). Complete thrombolysis was attained by 14 of the 18 DVT patients (77.7%). The mean clinical and radiological follow-up time was 15.2 ± 16.1 months. Upon follow-up, complete symptomatic regression was observed in 19 of the 23 patients (82.6%). Stent patency was complete in 19 of the 21 patients (90.4%) who received stents. Restenosis occurred in two patients. No treatment-related mortality or morbidity was observed. Conclusion: Endovascular treatment of MTS is safe and effective and reduces symptoms in most patients, associated with high medium-term patency rates.

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Acute Iliofemoral Deep Vein Thrombosis: Evaluation of Underlying Anatomic Abnormalities by Spiral CT Venography

Cited by 168 publications

References 18 publications

CIRSE Standards of Practice Guidelines on Iliocaval Stenting

CIRSE Standards of Practice Guidelines on Iliocaval Stenting

Endovascular Treatment of Venous Occlusive Disease

Endovascular Treatment of Iliac Vein Compression (May-Thurner) Syndrome: Angioplasty and Stenting with or without Manual Aspiration Thrombectomy and Catheter-Directed Thrombolysis

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