Diagnosis of chronic iliac venous obstruction

Jayaraj, Arjun; Rossi, Fabio H.; Lurie, Fedor; Muck, Patrick

doi:10.1016/j.jvsv.2023.101744

Cited by 1 publication

(4 citation statements)

References 56 publications

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“…Although we are uncertain of whether this patient’s proceduralist obtained the proper measurements due to the lack of history reported, it is important to mention that IVUS is a method that should be utilized to ensure the correct measurements of vein diameter and area of the target [ 3 , 13 ]. IVUS is the gold standard for confirmation and diagnosis of femoroiliocaval obstruction with a sensitivity of 90% [ 3 , 14 , 15 ]. It measures the luminal area of the vessel, with the most optimal stent sizes in the common iliac, external iliac, and common femoral veins being 16, 14, and 12 mm in diameter [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with DVTs typically experience severe swelling, redness, and pain in the lower extremity, whereas patients with post-thrombotic or non-thrombotic syndromes present with more long-term compressive symptoms, such as leg edema, redness, ulceration, and, to some extent, pain [ 1 , 2 ]. Conservative management includes compression stockings, leg elevation, walking, and antithrombotic therapy [ 3 ]. Those who fail conservative measures seek other treatment options, such as endovascular iliofemoral stenting.…”

Section: Introductionmentioning

confidence: 99%

“…Those who fail conservative measures seek other treatment options, such as endovascular iliofemoral stenting. Venous stenting for chronic iliofemoral venous obstruction has become the first-line therapy in those who fail conservative measures and those with quality-of-life impairing clinical manifestations [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…In numerous studies, stent placement has been proven to be safe and efficacious in patients who have failed conservative therapy with long-term thrombotic and non-thrombotic syndromes [ 1 - 7 ]. According to Jayaraja et al, over the past 20 years, multiple studies and publications have demonstrated the safety and efficacy of stent placement and the long-term outcomes of symptom improvement [ 3 ]. Razavi et al studied the safety and effectiveness of stent placement in patients with iliofemoral venous outflow obstructions.…”

Section: Introductionmentioning

confidence: 99%

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The Migrating Stent: A Case Report of a Patient With Circulation Issues Who Experienced Stent Migration to the Right Ventricle of the Heart

Burbank,

Tice

2024

Cureus

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Over the past several decades, percutaneous venous stenting has surfaced as the forefront for addressing symptomatic venous outflow obstruction. Stent migration is a very rare, but serious life-threatening complication that can occur with the placement of iliofemoral stents. Life-threatening complications following stent migration include but are not limited to damaged valves, arrhythmias, endocarditis, tamponade, and acute heart failure. Stent failure is seldom understood, but one can attribute it to the incorrect stent and or vein sizing and or the inherent natural forces of the body during respiration. Intravascular ultrasound (IVUS) should be utilized for proper vein and stent sizing prior to placement and patients should be monitored more closely after the procedure. Stent retrieval can be very difficult, as the procedure must consider the location of the migrated stent and the comorbidities associated with the patient. This case report explains an 81-year-old Caucasian male who presented to the Emergency Department with dizziness and dyspnea on exertion. Upon further evaluation via transesophageal echocardiogram, he was found to have severe tricuspid regurgitation and an iliofemoral venous stent located in the right ventricle of the heart.

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