Diagnosis and endovascular treatment of iliocaval compression syndrome

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Presentation transcript:

Diagnosis and endovascular treatment of iliocaval compression syndrome Darren R. Hurst, MDa, Andrew R. Forauer, MDa, Jess R. Bloom, RVTb, Lazar J. Greenfield, MDb, Thomas W. Wakefield, MDb, David M. Williams, MDa Journal of Vascular Surgery Volume 34, Issue 1, Pages 106-113 (July 2001) DOI: 10.1067/mva.2001.114213 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 A, Descending phlebogram of patient 2 demonstrates overlying right common iliac artery with compression and obstruction of left common iliac vein (arrow ). Note extensive transpelvic collateral venous flow, indicating venous obstruction at or above the level of common femoral vein. IVUS demonstrated chronic thrombotic changes in external iliac vein and patent common femoral vein (not shown). B, Oblique view of patient depicted in A. Journal of Vascular Surgery 2001 34, 106-113DOI: (10.1067/mva.2001.114213) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Balloon angioplasty of left common iliac vein stenosis (arrows ) with 10 × 4-mm balloon catheter (patient 2). B, Postdeployment radiograph of 14/40 mm, 10/68 mm, and 10/38 mm Wallstents in left common and external iliac veins with reduction of gradient from 4 to 0 mm Hg. Note IVUS catheter in right common iliac vein (arrow ), which was used to monitor placement of caval end of common iliac vein stent. C, Postdeployment venogram demonstrating widely patent left common and external iliac veins with no residual stenosis. Journal of Vascular Surgery 2001 34, 106-113DOI: (10.1067/mva.2001.114213) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A, IVUS demonstrating sacrum (posterior ), overlying right common iliac artery (anterior ), and compressed left common iliac vein at iliocaval junction (patient 2). B, Illustration of IVUS depicted in A. C, IVUS demonstrating intraluminal web (arrow ) in chronically occluded left common iliac vein. CIV, common iliac vein; IVC, inferior vena cava; IVUS, intravascular ultrasound; RCIA, right common iliac artery. Journal of Vascular Surgery 2001 34, 106-113DOI: (10.1067/mva.2001.114213) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 A, IVUS of left common iliac vein postdeployment of 14/40 mm, 10/68 mm, and 10/38 mm Wallstents (patient 2). B, Illustration of A. C, IVUS after stent deployment in area of intraluminal web depicted in Fig 3, C. CIV, Common iliac vein; RCIA, right common iliac artery. Journal of Vascular Surgery 2001 34, 106-113DOI: (10.1067/mva.2001.114213) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions