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Updated: May 26, 2025

Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
[Endovascular treatment of chronic pelvic vein obstruction]
Michael Lichtenberg1, Houman Jalaie2
1Klinik für Angiologie, Klinikum Hochsauerland, Stolte Ley 5, 59759, Arnsberg-Hüsten, Deutschland. m.lichtenberg@klinikum-hochsauerland.de.
Insights
Endovascular stent implantation effectively treats iliofemoral venous obstructions, improving quality of life. This review details patient selection, procedures, and long-term outcomes for postthrombotic syndrome (PTS) management.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiovascular Medicine
Abstract:
Chronic venous obstructions frequently lead to a substantial reduction in the quality of life of affected patients and as a result to a burden on the healthcare system. Endovascular recanalization and stent implantation of iliofemoral venous obstructions are successful minimally invasive approaches; however, there are still open questions with respect to patient selection, technical procedures and long-term results. This review article summarizes the current state of knowledge on the interventional treatment of postthrombotic syndrome (PTS), particularly on the development of endovascular procedures and stent implantation. Criteria for the patient selection, details of the procedure and the characteristics of special venous stents are discussed.
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