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Iliac vein stenting in postmenopausal leg swelling
Seshadri Raju1, Matthew Oglesbee, Peter Neglén
1The Rane Center at the River Oaks Hospital, Flowood, Mississippi, USA. rajumd@earthlink.net
Journal of Vascular Surgery
|October 30, 2010
Summary
Iliac vein obstruction is a common, treatable cause of leg swelling in postmenopausal women. Stenting iliac veins significantly improves swelling, pain, and quality of life.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Women's Health
Background:
- Leg swelling in postmenopausal women is often misattributed and undertreated.
- Conventional management with diuretics is frequently ineffective.
- Iliac vein obstruction is identified as a primary underlying cause.
Purpose of the Study:
- To investigate the efficacy of intravascular ultrasound-guided iliac vein stenting in postmenopausal women with leg swelling.
- To identify the prevalence and characteristics of iliac vein obstruction in this population.
Main Methods:
- 150 postmenopausal women (≥55 years) with leg swelling underwent iliac vein stenting.
- Intravascular ultrasound guided the stenting procedure.
- Preoperative assessments included duplex ultrasound, air plethysmography, and venous pressure tests.
Main Results:
- Iliac vein obstruction was primary in 65% and postthrombotic in 35% of cases.
- Mean follow-up was 22 months with 98% overall stent patency.
- Significant improvements were observed in swelling (P < .0001), pain (P < .0001), and quality of life (P < .0001).
Conclusions:
- Postmenopausal leg swelling frequently stems from obstructive venous pathology, often overlooked.
- Iliac vein stenting offers substantial relief from symptoms and improves quality of life.
- Recognizing this distinct venous entity can enhance patient care and treatment outcomes.
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