Correlation of venous symptoms with iliac vein stenosis on magnetic resonance imaging

Aurshina, Afsha; Huber, Steffen; Deng, Yanhong; Attaran, Robert R.; Nassiri, Naiem; Dardik, Alan; Chaar, Cassius Iyad Ochoa

doi:10.1016/j.jvsv.2020.12.077

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…[ 30 , 31 ] From the perspective of pathology, more sever vein stenosis brings less blood flow and higher venous pressure, reducing calf muscle perfusion and increasing tissue permeability. [ 32 ] However, Aurshina et al [ 33 ] describe no significant correlation between venous symptom and degree of iliac vein stenosis. This discrepancy may be due to different inclusion criteria and the imaging modality used for evaluation of stenosis degree.…”

Section: Discussionmentioning

confidence: 99%

Predictors of long-term outcomes after catheter-directed thrombolysis combined with stent implantation in acute deep vein thrombosis secondary to iliac vein compression

Chen

2023

Medicine

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The purpose of this study is to analyze predictive factors for long-term clinical outcomes after catheter-directed thrombolysis (CDT) combined with stent implantation for acute deep vein thrombosis (DVT) secondary to iliac vein compression (IVC). A retrospective analysis was performed to review clinical data and follow-up information on 52 patients who underwent CDT combined with stent implantation for acute DVT secondary to IVC from June 2015 to March 2020. Clinical outcomes including stent patency and incidence of postthrombotic syndrome (PTS) were investigated using Kaplan–Meier analysis. All included patients were categorized into 2 groups according to the presence of PTS. Potential risk factors, including age, gender, degree of iliac vein stenosis, time from onset to treatment, dosage of thrombolytic agent, stent extending below the inguinal ligament, and duration of anticoagulation for PTS were evaluated using multivariate logistic regression analysis. Over a median follow-up of 24 months, 4 individuals underwent reintervention due to in-stent stenosis or stent compression. Primary stent patency was 98.1% at 1 month, 94.2% at 6 months, 90.4% at 12 months, and 88.5% at 24 months. Freedom from PTS was 98.1% at 6 months, 84.6% at 12 months, and 75% at 24 months. No treatment-related mortality or morbidity was observed. Based on the development of PTS, 13 patients with PTS were classified into group A and 39 patients without PTS were regarded as group B. Upon multivariate logistic regression analysis, key prognostic factors for PTS were degree of iliac vein stenosis and time from onset to treatment. CDT combined with stent implantation is safe and effective for acute DVT secondary to IVC in the long-term perspective. Severe iliac vein stenosis and longer period from onset to treatment may be associated with a higher risk of PTS.

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Section: Discussionmentioning

confidence: 99%

Predictors of long-term outcomes after catheter-directed thrombolysis combined with stent implantation in acute deep vein thrombosis secondary to iliac vein compression

Chen

2023

Medicine

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“…This approach is based on studies showing the presence of CIV stenosis in up to one-third of patients undergoing MRV of the pelvis, regardless of their symptoms. 11 Aurshina et al 12 retrospectively examined 120 MRVs and found iliac vein stenosis (≥50%) in approximately 34.2% of patients. Iliac vein stenosis of 50% or more and 70% or more did not correlate with venous symptoms.…”

Section: Discussionmentioning

confidence: 99%

Complex pathologies in a patient referred for varicose veins

Ali¹,

Pinto²,

Huber³

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Similarly, Aurshina et al. also found no correlation between the degree of CIV stenosis seen on MRI and venous symptoms [ 29 ].…”

Section: Anatomymentioning

confidence: 99%

Comprehensive overview of the venous disorder known as pelvic congestion syndrome

2021

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Pelvic venous disorders (PeVD) also known as Pelvic Congestion Syndrome (PCS) affect a great number of women worldwide and often remain undiagnosed. Gynecological symptoms caused by vascular background demand a holistic approach for appropriate diagnosis. This is a relevant cause of chronic pelvic pain and atypical varicose veins. The diagnosis is based on imaging studies and their correlation with clinical presentation. Although the aetiology of PCS still remains unclear, it may result from a combination of factors including genetic predisposition, anatomical abnormalities, hormonal factors, damage to the vein wall, valve dysfunction, reverse blood flow, hypertension and dilatation. The following paper describes an in-depth overview of anatomy, pathophysiology, symptoms, diagnosis and treatment of PCS. In recent years, minimally invasive interventions have become the method of first choice for the treatment of this condition. The efficacy of a percutaneous approach is high and it is rarely associated with serious complications. Key Messages Pelvic venous disorders demand a holistic approach for appropriate diagnosis. This article takes an in-depth look at existing therapies of Pelvic Congestion Syndrome and pathophysiology of this condition. Embolisation is an effective and safe treatment option.

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Correlation of venous symptoms with iliac vein stenosis on magnetic resonance imaging

Cited by 7 publications

References 13 publications

Predictors of long-term outcomes after catheter-directed thrombolysis combined with stent implantation in acute deep vein thrombosis secondary to iliac vein compression

Predictors of long-term outcomes after catheter-directed thrombolysis combined with stent implantation in acute deep vein thrombosis secondary to iliac vein compression

Complex pathologies in a patient referred for varicose veins

Comprehensive overview of the venous disorder known as pelvic congestion syndrome

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