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Recanalization and stenting of a post-thrombotic iliac vein in a patient with Behçet's disease

Christophe Seinturier1, Frédéric Thony2, Sophie Blaise1

  • 1Department of Vascular Medicine, University Hospital, Grenoble, France.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|March 20, 2016
PubMed

Vascular lesions are frequent in Behçet's disease, and among them, deep venous thrombosis may occur in up to one-third of patients. Treatment is based on immunosuppressive drugs in addition to anticoagulants. We report the case of a young woman who presented with an acute iliofemoral venous thrombosis. Acute treatment with endovascular thrombectomy and catheter-directed fibrinolysis failed, probably because of the inflammatory status of the vessel wall. Recanalization with stenting of the obstructed common femoral and iliac veins 1 year later was successful under immunosuppressive therapy. This case suggests that endovascular treatment of venous thrombosis in Behçet's disease may be conducted successfully in nonactive venous lesions under immunosuppressive therapy.

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