Related Experiment Video

Updated: Jun 24, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Endovascular management of chronic disabling ilio-caval obstructive lesions: long-term results

O Hartung1, A D Loundou, P Barthelemy

  • 1Department of Vascular Surgery, CHU Nord, Marseille, France. olivier.hartung@ap-hm.fr

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|April 10, 2009
PubMed

Insights

Stenting for chronic ilio-caval venous obstructive lesions is safe and effective, offering good long-term patency. This minimally invasive endovenous angioplasty technique is the preferred treatment, with surgery reserved for failures.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Venous Thromboembolism

Background:

  • Chronic ilio-caval obstructive lesions cause significant venous disability.
  • Endovascular treatment offers a minimally invasive alternative to surgery.

Purpose of the Study:

  • To evaluate the long-term outcomes of stenting for chronic ilio-caval obstructive lesions.
  • To assess the safety, efficacy, and patency rates of this endovascular approach.

Main Methods:

  • Retrospective analysis of 89 patients undergoing endovascular treatment for chronic ilio-caval lesions between 1996 and 2008.
  • Patients classified by lesion severity (C2-C6), with data on venous disability scores (VDS) and venous clinical severity scores (VCSS).
  • Technical success, hospital stay, patency rates (primary, assisted-primary, secondary), and factors affecting outcomes were analyzed.

Main Results:

  • High technical success rate (98%) with a short median hospital stay (2 days).
  • Excellent long-term patency rates: 83% primary, 89% assisted-primary, and 93% secondary at 3 and 10 years.
  • Common femoral vein involvement and history of deep venous thrombosis (DVT) were associated with lower patency rates.

Conclusions:

  • Endovenous angioplasty with stenting is a safe, effective, and minimally invasive treatment for ilio-caval obstructive lesions.
  • This technique provides durable long-term patency and is considered the treatment of choice.
  • Surgical intervention should be reserved for cases where endovascular treatment fails.
Abstract

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...