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Extrinsic venous compression secondary to spine osteophytes
Mauricio Gonzalez-Urquijo1, Jose Torrealba1, Jose Francisco Vargas1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Vascular
|April 8, 2022
Summary
Vertebral osteophytes can cause symptomatic extrinsic venous compression. Endovascular stenting successfully treated two patients with inferior vena cava and iliac vein compression, highlighting the importance of considering osteophytes in diagnosis.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Radiology
Background:
- Extrinsic venous compression, particularly of the inferior vena cava and iliac veins, can lead to significant patient morbidity.
- Vertebral osteophytes are an uncommon but important cause of extrinsic venous compression.
Approach:
- This study presents two case reports of symptomatic extrinsic venous compression caused by vertebral osteophytes.
- Both patients underwent successful endovascular treatment, including venous stenting and percutaneous thrombectomy.
- A literature review was conducted to further understand this rare condition.
Key Points:
- An 80-year-old female with bilateral lower extremity edema experienced relief after inferior vena cava stenting for osteophyte compression.
- A 61-year-old male with deep venous thrombosis underwent successful iliac vein stenting for lumbar osteophyte compression.
- Endovascular interventions demonstrated efficacy in managing extrinsic venous compression due to vertebral osteophytes.
Conclusions:
- Vertebral osteophytes should be considered in the differential diagnosis of extrinsic venous compression, especially in elderly patients.
- Prompt diagnosis and endovascular treatment can effectively manage symptomatic venous compression caused by osteophytes.
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