Patency after Iliofemoral and Iliocaval Venous Thrombectomy

Juhan, C.; Cornillon, Bernard; Tobiana, F.; Schlama, Serge; Barthélémy, Pierre; Denjean-Massia, Jean-Pierre

doi:10.1016/s0890-5096(06)61435-0

Cited by 19 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, some authors estimate a 49 to 62% prevalence of this unusual anatomy in patients diagnosed with a DVT [12, 13]. Left sided compression occurs 3 to 8 times more commonly than that on the right side and is generally more asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Iliac Vein Compression Syndrome in an Active and Healthy Young Female

Cerquozzi

Pineo

Wong

et al. 2012

Case Reports in Medicine

View full text Add to dashboard Cite

Iliac vein compression syndrome is a condition involving external compression of the left common iliac vein by the right iliac artery, which was first described in the 1850s. It predominates in females typically between the third and fourth decade of life and has been associated with thrombophilias. Importantly, the syndrome is amenable to endovascular treatment. Here, we describe a case of a young athletic female with an incidental finding of a left iliac vein thrombosis while taking oral contraceptives, who was identified as having iliac vein compression syndrome on follow-up MR venography with positive testing for Factor V Leiden mutation.

show abstract

Section: Discussionmentioning

confidence: 99%

Iliac Vein Compression Syndrome in an Active and Healthy Young Female

Cerquozzi

Pineo

Wong

et al. 2012

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…It has been estimated to occur in 2 to 3% of all lower extremities. 5 Various authors 6,7 have reported a 49 to 62% prevalence of May-Thurner anatomy in patients with DVT. Wolpert et al 5 reviewed 24 patients with isolated left lower extremity swelling; 7 patients (29%) were found to have DVT, while 9 patients (37%) had evidence of May-Thurner anatomy without DVT by magnetic resonance venography (MRV).…”

Section: Discussionmentioning

confidence: 99%

Postthrombotic Syndrome Complicating a Case of May-Thurner Syndrome Despite Endovascular Therapy

Ludwig

Han

Amundson

2006

Chest

View full text Add to dashboard Cite

“…42 Juhan et al reported an 84% long-term venous patency rate with surgical venous thrombectomy in 77 patients followed up for a mean of 8.5 years 43 ; the same group had previously reported an immediate rethrombosis rate of Ͻ10%. 44 The rate of valvular insufficiency was 20% at 5 years and 44% at 10 years; 90% of patients had nonexistent or mild symptoms of venous insufficiency. 44 In 1984, Plate et al in Sweden compared conventional anticoagulation with surgical venous thrombectomy and temporary arteriovenous fistula in patients with acute iliofemoral DVT.…”

Section: Open Surgical Thrombectomymentioning

confidence: 91%

“…44 The rate of valvular insufficiency was 20% at 5 years and 44% at 10 years; 90% of patients had nonexistent or mild symptoms of venous insufficiency. 44 In 1984, Plate et al in Sweden compared conventional anticoagulation with surgical venous thrombectomy and temporary arteriovenous fistula in patients with acute iliofemoral DVT. 45 After 6 months of follow-up, postthrombotic symptoms of leg edema, varicose veins, and venous claudication were more frequent in the group treated with anticoagulation alone (42% versus 7%; Pϭ0.005).…”

Section: Open Surgical Thrombectomymentioning

confidence: 91%

Invasive Approaches to Treatment of Venous Thromboembolism

Augustinos

Ouriel

2004

Circulation

View full text Add to dashboard Cite

Abstract-Deep vein thrombosis (DVT) occurs in one-quarter of a million individuals annually in the United States and results in significant disability from pulmonary embolism and chronic venous insufficiency, especially when the proximal iliofemoral is involved. Treatment has centered on early institution of adequate anticoagulation to prevent thrombus propagation and embolism, but anticoagulation alone does not always restore venous patency and many patients are left with venous outflow obstruction and valvular incompetence-the anatomic underpinnings of the postthrombotic syndrome. Various strategies have been used to restore patency of thrombosed veins, including open surgical thrombectomy, pharmacological thrombolysis, and percutaneous mechanical thrombectomy. Each modality has benefits and shortcomings. Surgical thrombectomy had previously been abandoned secondary to poor long-term results.More recently, with improved techniques and better patient selection, surgical thrombectomy has regained a therapeutic role in treating acute DVT in young patients with short segment occlusions. The advent of percutaneous techniques has allowed thrombolysis, percutaneous mechanical thrombectomy, and stenting to be used in conjunction with each other-allowing for better resolution of venous clot burden than when an individual modality is used alone. Practitioners who treat patients with DVT should be familiar with all the options available to restore venous patency, preserve valvular function, and thereby minimize the risk of late postthrombotic complications.

show abstract

Patency after Iliofemoral and Iliocaval Venous Thrombectomy

Cited by 19 publications

References 9 publications

Iliac Vein Compression Syndrome in an Active and Healthy Young Female

Iliac Vein Compression Syndrome in an Active and Healthy Young Female

Postthrombotic Syndrome Complicating a Case of May-Thurner Syndrome Despite Endovascular Therapy

Invasive Approaches to Treatment of Venous Thromboembolism

Contact Info

Product

Resources

About