The first experience with endovascular stenting of the iliac veins in patients suffering from post-thrombophlebitic

Related Experiment Video

Updated: Sep 25, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

S A Kapranov1, S G Gavrilov, M A Cherkashin

  • 1Russian State Medical Universit, Federal Centre of Radiosurgical Methods of Diagnosis and Treatment, RF ministry of Public Health, Moscow, Russia.

Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
|June 18, 2003
PubMed

Insights

Endovascular stenting effectively treated chronic iliac vein occlusion in a patient with post-thrombophlebitic disease. This minimally invasive procedure resolved symptoms of venous insufficiency, restoring vein patency.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Post-thrombophlebitic disease can lead to chronic venous occlusion, causing significant lower extremity venous insufficiency.
  • Conservative management (phlebotropic therapy, compression) often fails to resolve severe symptoms like edema and pain.

Observation:

  • A patient with chronic left iliac vein occlusion due to post-thrombophlebitic disease presented with persistent edema and pain despite conservative treatment.
  • Diagnostic imaging confirmed chronic occlusion of the left iliac veins.

Findings:

  • Endovascular stenting of the iliac veins was performed, resulting in a successful outcome.
  • Post-procedure, the patient experienced complete resolution of pain and edema in the left lower extremity.
  • Follow-up radionuclide phleboscintigraphy confirmed sustained patency of the stented iliac veins.

Implications:

  • Endovascular stenting is a safe and effective treatment for occlusive post-thrombophlebitic disease affecting the iliac veins.
  • This approach offers a minimally invasive alternative to traditional surgical interventions for chronic venous occlusions.
  • Successful stenting can significantly improve quality of life for patients suffering from severe venous insufficiency.

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Veins of Lower Limbs01:15

Veins of Lower Limbs

The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the knee,...
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...