Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava

Abstract

Both OSR and HR are viable options if endovascular procedures fail or are not feasible. Palma vein bypass and femoroiliac or iliocaval PTFE bypasses have excellent outcomes with good symptomatic relief.

Stenting for obstructive iliac vein lesions

“…Of these, swelling has been noted to be the most common symptom followed by venous claudication in one review. 4 In this study the incidence of active ulcers was approximately 19%. Diagnostic testing is focused on confirming the presence of an obstructive femoro-ilio-caval lesion and determining etiology.…”

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

“…33) It is important to techniques were associated with primary and secondary 3-year patency rates of 54% and 62%, respectively. 5,10,21,22) The surgical techniques used in another study were both diverse and complicated, including multiple treatments of autologous veins. However, despite such diversity, similar primary and secondary 5-year patency rates (42% and 59%, respectively) were reported in a larger patient group.…”

“…However, despite such diversity, similar primary and secondary 5-year patency rates (42% and 59%, respectively) were reported in a larger patient group. 22) Today, MTS patients rarely undergo highly invasive venous surgical reconstructions because management using endovascular techniques has been relatively successful, and is associated with fewer operative risks. [4][5][6][7][8] DVT treatment aims to alleviate acute or chronic symptoms, and to prevent recurrence, PE development, and development of post-thrombotic syndrome.…”

May-Thurner Syndrome, the Role of Endovascular Intervention with Review of Published Treatment and Follow up Strategies

“…There is increase evidence of stenting and early aggressive treatment of proximal iliofemoral thrombosis with good medium to long-term patency rate (84%) [9]. of note, surgical correction of iliofemoral or caval obstruction options should only be reserved for patients in whom endovascular options have failed or not feasible [10]. Current evidence suggests that patients in whom thrombosis develops may be at higher risk for recurrent DVT.…”