Intravascular imaging methods for venous disorders

Satokawa, Hirono; Hoshino, Shunichi; Iwaya, F; Igari, Tsuguo; Midorikawa, Hirofumi; Ogawa, Tomoya

doi:10.1055/s-0031-1276235

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…IVUS was found to be more sensitive than venography in previous studies [25][26] . During IVUS, an ultrasound probe is directly inserted into the compressed vein, and bypassing all the imaging barriers may lead to traditional ultrasound [27] , which provides an accurate assessment of venous stenosis.…”

Section: Discussionmentioning

confidence: 77%

Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression

Yang

Jiang

et al. 2021

J. Shanghai Jiaotong Univ. (Sci.)

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Section: Discussionmentioning

confidence: 77%

Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression

Yang

Jiang

et al. 2021

J. Shanghai Jiaotong Univ. (Sci.)

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“…25 Preliminary studies suggest that IVUS is more sensitive than venography for the detection and qualitative characterization of iliac vein lesions. Specifically, studies comparing venography with IVUS suggest that many iliac vein lesions are either missed or underestimated in severity [26][27][28][29][30] (Figure 2). In one study, approximately 25% of limbs determined to be 'normal' on single-plane venography were subsequently shown to have greater than 50% stenosis on IVUS.…”

Section: Invasive Testingmentioning

confidence: 99%

May–Thurner syndrome and other obstructive iliac vein lesions: Meaning, myth, and mystery

2014

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Acute and chronic venous disorders of the lower extremities affect millions of people and cause substantial disability. Long ago, surgeons and pathologists identified the presence of 'spur-like' abnormalities of the left common iliac vein; these abnormalities were hypothesized to result from compression and/or irritation from the adjacent crossing right common iliac artery. In the 1990s, physicians, starting to perform catheter-directed thrombolysis to treat extensive deep vein thrombosis (DVT), observed that about 50% of patients had an iliac vein stenosis. Vascular physicians have become aware of the occasional patient with otherwise-unexplained extremity swelling and/or pain but without a DVT history who is subsequently found to have an iliac vein abnormality. These 'lesions' have been hypothesized to elevate ambulatory venous pressures and thereby produce lower-extremity symptoms, increase the risk of initial and recurrent DVT episodes, and increase the risk of treatment failure with medical and endovascular therapies for thrombotic and non-thrombotic venous conditions. As a result, many practitioners now actively seek iliac venous obstructive 'lesions' when evaluating patients with known or suspected venous disease. However, for many patients, it continues to be unclear what degree of obstruction to venous blood flow is being caused by such lesions, how clinically significant they are, how much emphasis should be placed on identifying them, and when they should be treated. This article seeks to improve the knowledge base of vascular practitioners who make clinical decisions about the diagnosis and treatment of obstructive iliac vein lesions.

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Intravascular imaging methods for venous disorders

Cited by 2 publications

References 6 publications

Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression

Application of 3D Digital Reconstruction and Printing to the Diagnosis and Treatment of Iliac Vein Compression

May–Thurner syndrome and other obstructive iliac vein lesions: Meaning, myth, and mystery

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