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Iliac compression syndrome treated with stent placement

A Berger1, J W Jaffe, T N York

  • 1Department of Vascular Surgery, Lehigh Valley Hospital, Allentown, PA 18103.

Journal of Vascular Surgery
|March 1, 1995
PubMed

Insights

Iliac compression syndrome, often linked to deep vein thrombosis, was successfully treated with stent placement after thrombolysis and balloon angioplasty. This case highlights a novel approach for managing this condition when other treatments prove insufficient.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Iliac compression syndrome (ICS) is frequently diagnosed in patients with iliofemoral deep vein thrombosis (DVT), typically during the third and fourth decades of life.
  • Catheter-directed thrombolysis is a standard treatment for iliofemoral DVT, often showing better outcomes than systemic therapy for clot dissolution.

Observation:

  • This report details the first known successful treatment of computerized tomographically confirmed iliac compression syndrome.
  • The patient presented with iliofemoral deep vein thrombosis.

Findings:

  • Successful management of iliac compression syndrome was achieved using stent placement.
  • This intervention followed thrombolysis and an insufficient response to balloon angioplasty.

Implications:

  • This case demonstrates a potentially effective treatment strategy for complex iliac compression syndrome.
  • It expands therapeutic options for patients with iliofemoral DVT secondary to anatomical compression unresponsive to conventional methods.

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